Newport News, Virginia Hiring Range $18.20 - $23.68/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. 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 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) To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers. If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities. Unfortunately, job scams are on the rise across the country, and we want to help you feel confident in knowing what is — and is not — part of our hiring process. Learn more about how to recognize a legitimate Riverside job opportunity and what to do if you suspect a scam by visiting this site.