Billing & Insurance Follow-up Analyst (Home Health) Full Time

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 https://www.riversideonline.com/careers.