Newport News, Virginia Overview The Provider Insurance Follow-up Specialist is responsible for timely follow up of professional claims for all assigned provider practice locations. Works an assigned portion of AR and aging reports. Researches and writes appeals on denied accounts. Responds to billing claim inquiries and works to resolve any claim issues. What you will do Works assigned portion of Accounts Receivable (AR) and aging reports. Follows up on professional claims and zero pay EOBs for assigned provider practice locations to obtain payment. Researches and writes appeals on denied accounts within department guidelines. Resubmits applicable claims within required timeframe. Responds and resolves insurance company requests for information and works to identify issues and bring to management’s attention. Resolves patient inquiries and complaints. Qualifications Education High School Diploma or GED, (Required) Bachelors Degree, or greater will count as 1 year of additional experience (Preferred) Experience 2 years Revenue Cycle experience (Required) 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. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities. Unfortunately, job scams are on the rise across the country, and we want to help you feel confident in knowing what is — and is not — part of our hiring process. Learn more about how to recognize a legitimate Riverside job opportunity and what to do if you suspect a scam by visiting this site.
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