The Patient Financial Services Representative 4 is responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims.
- Process claims for multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.). -Assure all assigned claims meet clearinghouse and/or payer processing criteria. - Assure appropriate follow-up on assigned work lists. -All work meets departmental productivity and quality review standards. -Provide Team Management with issues regarding claims follow-up process. -Provide Team Supervisor or Manager with issues and potential resolutions regarding problems with the claims process. -Payer response reports and rejection reports are worked timely and meet Departmental Productivity and Quality Review standards. -Provide support, education, and guidance to Team. -Perform duties, as assigned, in the absence of the Supervisor or Manager. -Assure appropriate and timely documentation of all account activity. -Correspondence is handled appropriately. -WIP counts completed timely. -All required reports are filed timely
Internal Number: 48093BR
About Inova Health System
Inova is a global leader in personalized health, which leverages precision medicine to predict, prevent and treat disease, enabling individuals to live longer, healthier lives. At Inova, we serve more than two million people each year from throughout the Washington, DC, metro area and beyond. Inova's mission is to improve the health of the diverse community it serves through excellence in patient care, education and research. At Inova, more than 16,000 employees demonstrate their commitment every day to providing the community with expert, world-class, compassionate patient care.