Job description
Newport News, Virginia
Qualifications
Education
Experience
Licenses and Certifications
For over 100 years, at Riverside Health System, we have made it our mission to care for others as we would care for those we love.
Overview
Responsible for verifying insurance eligibility and benefits, obtaining authorizations and providing patient estimates. Researches, follows-up and resolves open and pending authorizations in a timely manner. Monitors work queues, managing workload and completing accounts effectively.
What you will do
Responsible for verifying insurance eligibility and benefits, obtaining authorizations and providing patient estimates. Researches, follows-up and resolves open and pending authorizations in a timely manner. Monitors work queues, managing workload and completing accounts effectively.
What you will do
- Obtains, validates and updates insurance information in the database, verifying eligibility and benefits. Utilizes effective and professional communication with patients, physicians' offices, and staff.
- Calculates and provides patient estimates and financial obligations. Ensures collection and/or notification of payment due for services to be rendered. Provides information and resources for patients regarding RHS financial assistance and self-pay processes.
- Verifies and/or obtains the necessary referral, authorization, or pre-certification prior to services being provided as required by payer.
- Researches and obtains missing information from provider practices, providing timely notification of issues, denials, and/or need for peer to peer.
- Monitors work queues, managing workload and completing accounts in a timely manner; follows current department workflows, staying up to date on changes.
- Utilizes Riverside Care Difference principles in all interactions and maintains strict confidentiality in all matters relating to PHI.
- Identifies issues and trends related to pending/denied authorizations, escalating to team lead and/or manager.
- Participates in continuing education and other learning experiences, sharing gained knowledge with team.
- Navigates online portals and systems to determine authorization requirements; catalogs and tracks authorization requests.
Qualifications
Education
- High School Diploma or GED, (Required)
Experience
- 1 year Revenue Cycle experience (Required)
Licenses and Certifications
- Certified Healthcare Access Associate (CHAA) - National Association of Healthcare Access Management (NAHAM) (Preferred)
As a Riverside Health System team member, our benefits have you covered:
Health & Wellness:
- Medical Plan Options
- Vision and Dental plans (including orthodontic care)
- Wellness & fitness center discounts
- Onsite pharmacy and delivery options
- Riverside Health System services discount
- Flexible spending and savings accounts
- Healthy lifestyle incentives
Peace of Mind:
- Group Term Life and AD&D Insurance
- Short Term Disability
- Whole Life Insurance
- Critical Illness Insurance
- Accident Insurance
- Legal Insurance
- Pet Insurance
Financial Support:
- CEUs (MedBridge Education)
- 403(b) Savings Plan (Immediate Matching)
- Specialty Certification Financial Assistance
- Company Wide Bonus Program
- Employee Help Fund
Work-Life Balance:
- Paid Time Off (full- and part-time team members)
- Extended illness bank
- Care.com membership
- Employee Assistance Program
- Adoption Assistance
- Area retail discounts
- Community involvement opportunities
abouteureka.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, abouteureka.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, abouteureka.com is the ideal place to find your next job.