Chesapeake Regional Healthcare · 1 day ago
Billing FollowUp PT Acct
Chesapeake, VA
Full-time
Onsite
Mid Level
3+ years expChesapeake Regional Healthcare is seeking a Patient Accounts Representative for Hospital Billing and Follow-up. This role is responsible for ensuring the submission of timely and clean claims to various payers and resolving claim issues to accelerate cash collections.
Health CareHospitalMedical
Responsibilities
Submit Inpatient/Outpatient electronic and paper claims (UB-04 and 1500) to the appropriate government and non-government payers
Understand how to resolve Billing errors and/or warnings that are identified in the Patient Accounting and Billing System
Keep abreast of payer-specific and government requirements and regulations
Ensures claim information is complete and accurate in order to accelerate cash collections
Analyze information contained within the Patient Accounting and Billing system to make decisions on how to proceed with the billing of an account
Processes rejections by correcting any billing error and resubmitting claims to government and non-government payers
Place unbillable claims on hold and properly communicate to various Hospital departments the information needed to accurately bill
Process late charge claims in the event that charges are not entered in a timely fashion by Hospital Departments
Submit corrected claims in the event that the original claim information has changed for various reasons
Perform the billing of complex scenarios such as interim, self-audit, combined, and split billing etc
Limit the number of unreleased claims by reviewing all imported claims and either billing or holding the claim for further review
Meet Billing productivity and quality requirements as developed by Leadership
Measured on high production levels, quality of work output, in compliance with established CRH’s policy and standards
Record or generate revenue by gathering and processing information that impacts the patient revenue process
Review patient financial records and/or claims prior to submission to ensure payer-specific requirements are met
Keep abreast of payer-specific and government requirements and regulations
Follow up on unprocessed or unpaid claims until a claims resolution is achieved
Generates letters to insurance or patients as needed in order to resolve unpaid claim issues
Works on and maintains spreadsheets by sorting/adding pertinent data
Analyze information contained within the billing systems to make decisions on how to proceed with the account
Work independently and has the ability to make decisions relative to individual work activities
Identify comments in the billing systems by using initials and using approved abbreviations for universal understanding
Keep documentation clear, concise, and to the point, while including enough information for a clear understanding of the work performed and actions needed
Create appropriate documentation, correspondence, emails, etc. and ensure that they are scanned to the proper account for accurate documentation
Read, understand, and explain benefits from all payers to coworkers, physicians, and patients
Make phone calls, use the internet, and send mail to payers for follow-up on unprocessed claims, incorrectly processed claims, or claims in question
Develop relationships with customers/patients/co-workers in order to gather and process information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction
Post accurate adjustments as appropriate per billing policies and procedures, payer explanation of benefits, and the management directive
Maintain work procedures pertinent to the job assignment
Accountable for individual work activities
Resolve questions that arise regarding correct charging and/or other concerns regarding services provided
Complete cross-training, as deemed necessary by management, to ensure efficient department operations
Report potential or identified problems with systems, payers, and processes to the manager in a timely manner
Complete special project assignments in a timely fashion
Follows HIPAA guidelines in order to maintain strict confidentiality of all patient financial and hospital information at all times
Perform other duties as assigned
Qualification
Required
High school diploma or equivalent
3+ years as a Hospital Biller or Follow-up representative preferred
This position is responsible for revenue cycle operations specifically for Home Health and Hospice services
Candidates must have prior experience in Home Health/Hospice billing, collections, and payer relations
Preferred
College courses or associate's degree
Company
Chesapeake Regional Healthcare
Chesapeake Regional Healthcare renders rehabilitation, behavioral health, hospice, emergency care, surgery and home healthcare services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Reese Jackson
President & CEO
Bailey Uggeri
Care Partner
Recent News
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2025-12-27
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