Physician Insurance Analyst 4

Inova Health; Falls Church (VA); Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Health coverage

Retirement match

Education assistance

Mental health support

Job summary

Inova Health seeks a dedicated Physician Insurance Analyst to join our revenue cycle team in a full-time, hybrid role. The position involves four days remote and one day in-office in Falls Church, VA, requiring prior physician billing experience and strong claims processing skills.

Key duties include handling claims, revisions, and CPT/ICD-10 reimbursements while meeting productivity and quality standards. Inova offers comprehensive benefits and growth opportunities within a leading healthcare

Qualifications

• 3 years of Account Executive experience in revenue cycle operations, billing, collections, cash posting, or administrative support in physician billing.

Responsibilities

• Edit, submit and follow up on assigned claims to meet productivity and quality standards.
• Process claims for all payer types and EPIC charge reviews; ensure payer processing criteria.
• Process appeals (levels 1 and 2) and check claim status via phone or payer portals.
• Identify trends in data and escalate to the appropriate leaders/teams.
• Ensure payer reports and rejection/denial reports are worked timely and accurately.
• Interpret CPT, ICD-10, and APC reimbursements to optimize receivables.
• Document all account activity and ensure proper correspondence handling.

Skills

Revenue cycle operations

Billing & collections

Education

High School diploma or GED

Job description

Job Description Inova is Looking for a dedicated Physician Insurance Analyst to join the team. This role will be Full-Time Monday through Friday Hybrid. Four Days at home and One day in Office REQUIRED

Job Description Inova is Looking for a dedicated Physician Insurance Analyst to join the team. This role will be Full-Time Monday through Friday Hybrid. Four Days at home and One day in Office REQUIRED 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.

Job Responsibilities

• Performs the duties of a Physician Insurance Analyst 1, 2, and 3 and demonstrates leadership by providing training to new staff or deploying insurance updates to existing staff.
• Responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims, while meeting the expected Productivity and Quality Standards on a weekly basis.
• Processes claims for all payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and processes all types of EPIC charge reviews and claim edits. Assure all assigned claims meet clearinghouse and/or payer processing criteria.
• Processes Appeals (levels 1 and 2) and checks claim status via phone/payer website for all payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.).
• Identifies trends and analyzes data, escalating trends to the appropriate leader/teams.
• Ensures payer response reports and rejection/denials reports are worked timely and meet Departmental Productivity and Quality Review Standards.
• Effectively interprets CPT, ICD-10, and APC reimbursements to ensure a strong receivable performance.
• Assures appropriate and timely documentation of all account activity.
• Ensures correspondence is handled appropriately.

Additional Requirements

• Experience - 3 years Account Executive Experience in Revenue cycle operations, billing, collections, cash posting, and/or administrative support in physician billing
• Education - High School or GED

Preferred Qualification

• Insurance and Follow Up
• Detailed oriented
• Multi-Tasking
• HB and PB Experience
• Production Environment and Quality Scores

About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider.

Every day, our 26,000+ team members provide world-class healthcare to the communities we serve.

Our people are the reason we're a national leader in healthcare safety, quality and patient experience.

And from best-in-class facilities to professional development opportunities, we support them at every step.

At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.