Inova Health Systems PHYSICIAN INSURANCE ANALYST 3 in FALLS CHURCH, Virginia
Responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims, while meeting the expected productivity and quality standards on a weekly basis. Able to process claims for all payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) Assure all assigned claims meet clearinghouse and/or payer processing criteria. Able to process (level 1 and 2) and check claim status via phone/payer website. Payer response reports and rejection reports are worked timely and meet Departmental Productivity and Quality Review standards. Assure appropriate and timely documentation of all account activity. Correspondence is handled appropriately. Complete all assigned EPIC billing/claim edits and insure all required reports are filed timely and accurately. Identify opportunities for revenue cycle performance improvements and report to management team. Identify and report trends, assist in the development and deployment of training relative to trends.
Experience: Two years of experience in Revenue cycle operations, billing, collections, cash posting, and/or administrative support in physician billing.
Education: High School Diploma or GED
Special Skills: Keyboard and CRT skills. Working knowledge of Microsoft Office products or equivalent software.
Work Site Location: INOVA SYSTEM OFFICES-TELESTAR
Work Site Address: 2990 TELESTAR COURT
Work Site City/State: FALLS CHURCH, VA