About this role
Newport News, Virginia
Hiring Range $17.50 - $22.75/Hourly
Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. 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)
• Knowledge of Medicaid Eligibility and Application processing is (Preferred)
To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.