Riverside Health System

Healthcare

Billing&InsuranceFollow-upAnalyst(HomeHealth)

$52–78k ~AI est. Newport News, Virginia, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Billing & Insurance Follow-up Analyst (Home Health) at Riverside Health System. Skills: Billing, Insurance follow-up, Account resolution. Manage assigned portion of AR. Resolve outstanding account balances”

What You'll Achieve.

Ensure timely receipt of payments; Resolve outstanding account balances

Industry & Context.

Healthcare
Problems you'll solve

Research appeals; Resolve outstanding balances

What They're Looking For.

Must Have

High School Diploma or GED, 2 years Customer Service or Revenue Cycle experience

Nice to Have

Bachelors Degree, Business Administration, Accounting, Finance or related field, 1 year Billing/Insurance Follow-up, CRCR - Healthcare Financial Management Association (HFMA)

What You'll Do.

Manage assigned portion of AR

Resolve outstanding account balances

Perform timely follow-up on all insurances

Identify issues and trends

Create detailed narrative regarding aged accounts

Act as liaison between business office and front

Complete claim work queue daily

and Self Pay claims for

Perform claim follow-up

Follow up on zero pay remittance

Work the aging report

Resolve outstanding balances

Respond and resolve patient inquiries and/or issues

Respond to insurance company requests for information

Research and write appeals on denied accounts

Enter ancillary charges

How You'll Work.

Team & Collaboration

Business office; Front end locations; Insurance companies

Communication Scope

Write appeals

Full Job Description

Newport News, Virginia **Overview** Provides timely submission for government and non-governmental payers, including self-pay for assigned facilities. Provides follow-up on all claims to ensure timely receipt of payments, resolves outstanding account balances, researches and writes appeals, and works with aging reports. **What you will do** * Manages assigned portion of AR to resolve outstanding account balances utilizing reports and appropriate electronic tools, performs timely follow-up on all insurances, identifies issues and trends and reports to management. Creates a detailed narrative each month regarding aged accounts. * Acts as a liaison between the business office and all front end locations and insurance companies. * Completes the claim work queue daily. Reviews government, non-government, and Self Pay claims for accuracy. * Performs claim follow-up and submits adjustments. * Follows up on zero pay remittance and works the aging report. Resolves outstanding balances. * Responds and resolves patient inquiries and/or issues. * Responds to insurance company requests for information. * May research and write appeals on denied accounts. * May enter ancillary charges. **Qualifications** **Education** * High School Diploma or GED, (Required) * Bachelors Degree, Business Administration, Accounting, Finance or related field (Preferred) **Experience** * 2 years Customer Service or Revenue Cycle experience (Required) * 1 year Billing/Insurance Follow-up (Preferred) **Licenses and Certifications** * CRCR - Healthcare Financial Management Association (HFMA) (Preferred) To learn more about being a team member with Riverside Health System visit us at .

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