Physician Insurance Analyst 4

Inova Health System; Falls Church (VA); On-site; USD 60,000 - 95,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Education assistance

Job summary

Inova Health System in Falls Church, VA seeks a Physician Insurance Analyst to join our revenue cycle team. This full-time, hybrid role combines four days remote with one day in the office, Monday through Friday, to support claims processing, coding review, and payer communications.

You will edit and submit claims, analyze trends, and train staff on updates while ensuring productivity and quality standards.

Qualifications

• 3 years account executive experience in revenue cycle operations
• High School or GED required

Responsibilities

• Performs the duties of a Physician Insurance Analyst 1, 2, and 3 and provides training
• Responsible for timely and accurate editing, submission, and follow-up of claims
• Processes claims for all payer types and handles EPIC charge reviews
• Processes Appeals (levels 1 and 2) and checks claim status
• Identifies trends and analyzes data, escalating as needed
• Ensures payer reports and denial reports are handled timely
• Interprets CPT, ICD-10, and APC reimbursements for receivables
• Ensures documentation of all account activity
• Ensures appropriate correspondence handling

Skills

Revenue cycle ops

Billing

Collections

Cash posting

Administrative support

Education

High School or GED

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