Job description
Job Responsibilities
- Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium and with all required attachments. Reviews claims, identifies/makes corrections or initiates resolution within 24 hours of the date the claim was received.
- Documents and reports claims submission issues immediately and provides feedback to team management regarding issues and wins.
- Provides resolution for pending (WIP backlog) claims within allowable timeframes, as defined for appropriate deficiency, and/or provides appropriate account follow-up based on established protocol or SRGs.
- Completes write-off requests and submits to supervisor for daily review.
- Appropriately documents activity in HealthQuest and TRAC.
- Completes and submits all daily, weekly and monthly reports with minimal errors.
- Maintains knowledge of payer requirements, UB-04 standards and system (i.e. Hospital, clearinghouse, payer) functionality in addition to Hospital policies and procedures.
- Ensures documentation is professional, appropriate, accurately depicts actions performed and is in accordance with departmental quality review standards.
Additional Requirements
Education:
High School Diploma or GED
Experience:
Two years of experience in revenue cycle, finance, customer service, or data analytics.
Demonstrated ability to learn Revenue Cycle functions.
Skills:
Knowledge of Microsoft Office products (Word, Excel, PowerPoint, Access) or equivalent software.
Working typing and CRT skills.
Working knowledge of patient accounting systems, such as Epic
Ability to think critically and resolve accounts with minimal supervision.
About Inova
Inova is Northern Virginia’s leading nonprofit healthcare provider. Our mission is to provide world-class healthcare – every time, every touch – to each person in every community we have the privilege to serve. Inova’s 20,000 team members serve more than 2 million individuals annually through an integrated network of hospitals, primary and specialty care practices, emergency and urgent care centers, outpatient services and destination institutes.
Inova’s five hospitals are consistently recognized by the Centers for Medicare and Medicaid Services (CMS), U.S. News & World Report Best Hospitals and Leapfrog Hospital Safety Grades for excellence in healthcare.
Inova is home to Northern Virginia’s only Level 1 Trauma Center and Level 4 Neonatal Intensive Care Unit. Its hospitals have a total of 1,936 licensed beds. More information and statistics about Inova can be found at www.inova.org.
Inova is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
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