Top 690 Inova Health Systems Jobs

Patient Financial Services Representative 4 - Insurance Follow Up (Resolution)
Inova Health System —Fairfax, VA
- Full-time
- Remote
- Customer service
- HIPAA
- Mid-level
- Wellness program
- Paid parental leave
Sr. Research Scientist
Inova Health System —Virginia
- Full-time
- Hybrid work
- Doctor of Philosophy
- Children
- Senior level
- Wellness program
- Paid parental leave
Cardiovascular Invasive Specialist 2 (Cath Lab)
Inova Health System —Falls Church, VA
- $38.42 - $62.62 an hour
- Full-time
- Background check
- Nursing
- RN License
- Travel reimbursement
- Wellness program
Quick Apply
Registered Nurse (RN) Emergency Department
Inova Health System —Fairfax, VA
- $39.00 - $64.25 an hour
- Full-time
- Background check
- Nursing
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Registered Nurse (RN) - Cardiovascular OR (CVOR)
Inova Health System —Falls Church, VA
- $40.23 - $65.38 an hour
- 12 hour shift
- Background check
- Nursing
- Surgery
- Paid parental leave
- Relocation assistance
Quick Apply
Certified Registered Nurse Anesthetist (CRNA)
Inova Health System —Fairfax, VA
- $224,000 - $270,000 a year
- Weekends as needed
- Nursing
- Surgery
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Registered Nurse (RN) Emergency Department Float Pool
Inova Health System —Falls Church, VA
- $54 an hour
- Full-time
- Background check
- Nursing
- Float pool
- Wellness program
- Paid parental leave
Quick Apply
Registered Nurse (RN) Acute Care Telemetry/Neuro Unit
Inova Health System —Alexandria, VA
- $36 - $62 an hour
- 12 hour shift
- Acute care
- Background check
- Nursing
- Wellness program
- Paid parental leave
Quick Apply
Electrophysiology Invasive Specialist 2
INOVA HEALTH SYSTEM —Falls Church, VA
- $38.42 - $62.62 an hour
- Full-time
- Background check
- Nursing
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Registered Nurse (RN) Emergency Department
Inova Health System —Alexandria, VA
- $39.00 - $64.25 an hour
- Full-time
- Background check
- Nursing
- Float pool
- Wellness program
- Paid parental leave
Quick Apply
Registered Nurse (RN) STICU
Inova Health System —Leesburg, VA
- $36.75 - $62.00 an hour
- 12 hour shift
- Nursing
- Surgery
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Cardiovascular Invasive Specialist 2 (IR Technologist)
Inova Health System —Falls Church, VA
- $38.42 - $62.62 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Continuing education credits
Quick Apply
Radiologic Technologist - 10k Sign On Bonus Eligible
Community | GoHealth Urgent Care —Westfield, IN
- Full-time
- Anatomy knowledge
- BLS Certification
- Urgent Care
- Health insurance
- Dental insurance
Quick Apply
11d
Registered Nurse (RN) Interventional Neuro and Vascular Radiology
Inova Health System —Falls Church, VA
- $38.42 - $62.44 an hour
- Overnight shift
- Nursing
- Surgery
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Physical Therapist Outpatient
Inova Health —Vienna, VA
- $79,664 - $129,854 a year
- Full-time
- BLS Certification
- Physical & Rehabilitation Medicine
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Registered Nurse (RN) Unit Supervisor - Emergency
Inova Health System —Leesburg, VA
- $46.00 - $76.25 an hour
- 12 hour shift
- Background check
- Nursing
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Registered Nurse (RN) Cardiovascular Invasive
Inova Health System —Alexandria, VA
- $40.75 - $67.00 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
- Wellness program
- Paid parental leave
Quick Apply
Physical Therapist Outpatient
Inova Health —Annandale, VA
- $79,664 - $129,854 a year
- Full-time
- BLS Certification
- Physical & Rehabilitation Medicine
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Registered Nurse (RN) Acute Care Float Pool
Inova Health System —Alexandria, VA
- $54 an hour
- Full-time
- Acute care
- Background check
- Nursing
- Wellness program
- Paid parental leave
Quick Apply
Electrophysiology Technologist (EP Tech)
Inova Health —Alexandria, VA
- $38.42 - $62.62 an hour
- Full-time
- Background check
- Nursing
- RN License
- Wellness program
- Paid parental leave
Quick Apply

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Patient Financial Services Representative 4 - Insurance Follow Up (Resolution)

Inova Health System -
Fairfax, VA

Apply Now

Job Details

Full-time

Benefits

Wellness program
Paid parental leave
Health insurance
Dental insurance
Paid time off
Parental leave
Vision insurance
Loan assistance
Flexible schedule

Qualifications

Staff supervision
Medicare
Commercial insurance knowledge
Managed care
Team supervision
Customer service
Coaching
Regulatory compliance in claims processing
HIPAA
Blue Cross Blue Shield health insurance
Mid-level
3 years
Financial issue resolution
Medicaid health insurance
Medicare regulations
Medical billing data analysis
Data analytics
Medicaid regulations
Medical claims submission
Filing patient billing claims
Medicaid
Epic
Documentation Handling
Associate's degree
Medical claim status updates
Financial compliance

Full Job Description

Inova Health is looking for a dedicated Patient Financial Services Representative 4 - Insurance Follow Up to join our Resolution team. This role will be full-time day shift from Monday - Friday, 8:00am - 5:00pm, Remote Role

Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV

The Patient Financial Services Representative 4 performs the duties of a Patient Financial Services Representative 3 and is responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims. Processes claim for multiple payer types (i.e. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensures that all assigned claims meet clearinghouse and/or payer processing criteria. Ensures appropriate follow-up on assigned work lists while meeting all departmental productivity and quality review standards. Informs management of issues and potential resolutions regarding problems with the claims process. Provides support, education, and guidance to team members while performing duties, as assigned, in the absence of the supervisor or manager.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Patient Financial Services Representative 4 Job Responsibilities:

Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments. Serves in the place of the supervisor or manager in their absence.
Resolves complex issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor when needed.
Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated within 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity.
Handles complex and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs.
Ensures appropriate and timely documentation of all account activity while appropriately handling all correspondence within 48 hours of receipt.
Documents activity in HealthQuest and TRAC and ensures that documentation is professional, appropriate, accurately depicts actions performed, and is in accordance with departmental quality review standards.
Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures.
Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members. Performs duties, as assigned, in the absence of the supervisor or manager.

Minimum Qualifications:

Education: Associate Degree or an additional three years of experience appropriate to the position under consideration
Experience : 3 years of Experience in revenue cycle, finance, customer service or data analytics

Preferred Qualifications:

Expertise in Insurance Follow-Up Resolutions highly preferred.
Proficiency in hospital billing systems (e.g., Epic) and insurance verification portals.
Insurance & Compliance Knowledge: Extensive understanding of Medicaid, Medicare, commercial insurance, and self-pay policies. Familiarity with HIPAA regulations and hospital financial assistance programs.
Analytical & Problem-Solving Skills: Ability to analyze patient accounts, identify discrepancies, and resolve billing or insurance issues effectively.
Preference for candidates in the Northern Virginia, District of Columbia and Maryland area

Apply Now

Refine Your Search

Inova Health Systems jobs

Patient Financial Services Representative 4 - Insurance Follow Up (Resolution)

Sr. Research Scientist

Cardiovascular Invasive Specialist 2 (Cath Lab)

Registered Nurse (RN) Emergency Department

Registered Nurse (RN) - Cardiovascular OR (CVOR)

Certified Registered Nurse Anesthetist (CRNA)

Registered Nurse (RN) Emergency Department Float Pool

Registered Nurse (RN) Acute Care Telemetry/Neuro Unit

Electrophysiology Invasive Specialist 2

Registered Nurse (RN) Emergency Department

Registered Nurse (RN) STICU

Cardiovascular Invasive Specialist 2 (IR Technologist)

Radiologic Technologist - 10k Sign On Bonus Eligible

Registered Nurse (RN) Interventional Neuro and Vascular Radiology

Physical Therapist Outpatient

Registered Nurse (RN) Unit Supervisor - Emergency

Registered Nurse (RN) Cardiovascular Invasive

Physical Therapist Outpatient

Registered Nurse (RN) Acute Care Float Pool

Electrophysiology Technologist (EP Tech)

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