Riverside Health · 8 hours ago
Billing & Insurance Follow-up Specialist
Riverside Denbigh Professional Park - Newport News, Virginia
Full-time
Onsite
Entry, Mid Level
2+ years expRiverside Health is seeking a Billing & Insurance Follow-up Specialist to manage the timely billing and follow-up of claims. The role involves reviewing claims for accuracy, processing appeals for denials, and collaborating with the billing office team to resolve outstanding account balances.
Health CareHospitalMedical
Responsibilities
Ensures all claims are reviewed for accuracy prior to submission to all payers
Completes claim work queues
Follows up on claims for timely payment. Submits electronic adjustments as needed and resubmits applicable insurance claims within department guidelines
Process very detailed appeals for denials, including the ability to work directly with respective departments and staff to obtain additional documentation to support the appeal
Manages assigned portion of AR. Collaborates with the billing office team to resolve outstanding account balances
Responds to insurance company requests and processes all insurance/patient correspondence within department guidelines
Resolves patient inquiries and complaints and assists patients with COB corrections
Acts as a liaison between the billing office and all front-end locations and insurance payers providing consistent detailed information on issues and trends
Qualification
Required
High School Diploma or GED
2 years Revenue Cycle experience
Ability to be professional, while assertive, with payers
Preferred
Bachelors Degree, Accounting, Finance or related field (will count for one year of experience)
1 year Medical Billing for specific area
Company
Riverside Health
Riverside Health is a non-profit, integrated network of hospitals, physicians, continuing care facilities, wellness centers, etc.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2023-07-11Corporate Round
Leadership Team
L. Shawn Nelson
AVP Finance & CFO, Lifelong Health
Frankye Myers, MSN, RN, NE-BC
Senior Vice President / System Chief Nursing Officer
Recent News
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