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Insurance Chart Review information

What is the best insurance company to work for remotely?

For insurance chart review roles, many companies offer remote positions, with well-known insurers like UnitedHealth Group, Cigna, and Humana providing remote work opportunities. These companies often require familiarity with medical coding, claims processing, and relevant certifications, and they typically support flexible schedules for remote employees.

How to become a medicare reviewer?

To become a Medicare reviewer, typically one needs a background in healthcare, such as nursing, medical coding, or health administration, along with knowledge of Medicare policies. Certification in medical coding or billing and familiarity with electronic health records (EHR) systems can enhance job prospects. Employers often require attention to detail, analytical skills, and the ability to review medical documentation accurately.

What are some common challenges faced by professionals in Insurance Chart Review roles?

Professionals in Insurance Chart Review often encounter the challenge of keeping up with constantly changing insurance policies, coding guidelines, and healthcare regulations. Maintaining accuracy while reviewing large volumes of charts and navigating incomplete or unclear documentation can also be demanding. Additionally, balancing productivity targets with the need for thoroughness requires strong organizational skills. Successfully addressing these challenges is vital to ensuring accurate claims processing and supporting positive patient outcomes.

What is an Insurance Chart Review job?

An Insurance Chart Review job involves reviewing medical records and documentation to ensure accuracy, compliance, and proper coding for insurance claims. Professionals in this role assess patient charts to verify that services billed are medically necessary and supported by records. They may work for insurance companies, healthcare providers, or third-party auditors to minimize errors and prevent fraud. Strong attention to detail and knowledge of medical terminology, billing codes, and insurance guidelines are essential for success in this role.

What skills do you need to be a medical reviewer?

A medical reviewer in insurance chart review needs strong clinical knowledge, attention to detail, and the ability to interpret medical records accurately. Good communication skills and familiarity with coding systems like ICD and CPT are also important, along with proficiency in medical software and understanding insurance policies.

How to become a chart reviewer?

To become an insurance chart reviewer, candidates typically need a background in healthcare, such as nursing, medical coding, or health information management. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with electronic health record systems; certifications like CPC or CCS can enhance job prospects. Most positions require prior experience in medical record review or coding and may involve working in an office or remote environment.

What are the key skills and qualifications needed to thrive in the Insurance Chart Review position, and why are they important?

To excel in Insurance Chart Review, you need a strong understanding of medical terminology, coding practices, and healthcare documentation, often supported by certifications such as CPC, CCS, or RHIT. Familiarity with electronic health records (EHRs), coding software, and insurance company systems is typically required. Attention to detail, analytical thinking, and effective written communication are standout soft skills for this role. These competencies ensure accurate, compliant reviews that support insurance claims processing and minimize errors.

What are popular job titles related to Insurance Chart Review jobs in Virginia? For Insurance Chart Review jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Chart Review jobs in Virginia look for? The top searched job categories for Insurance Chart Review jobs in Virginia are:
Insurance Chart Review jobs near you
Infographic showing various Insurance Chart Review job openings in Virginia as of June 2026, with employment types broken down into 91% Full Time, 4% Part Time, and 5% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution.
Referral and Insurance Specialist - Orthopedic Specialists of Midlothian

Referral and Insurance Specialist - Orthopedic Specialists of Midlothian

Bon Secours

Virginia State University, VA • On-site

$16.50 - $20.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Referral & Insurance Specialist– Orthopedic Specialists of Midlothian

The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing. Verifies eligibility/coverage for referral via phone/fax/Internet. Schedules appointments for testing at medical facilities or appointments with physicians. Gathers charge information and enter all pertinent charge and patient demographic information into computer billing system. Post all payments and make daily deposits. Assist patients regarding billing questions and account balance resolution. Promotes a positive and helpful climate for good interpersonal and interdepartmental relationships.

Essential Functions:

  • Obtains authorizations from insurance companies for referrals to physicians/medical facilities and/or procedures/testing.
  • Schedules appointments for testing at medical facilities or appointments with physicians.
  • Verifies eligibility/coverage for referral/testing via phone/fax/Internet.
  • Investigates billing problems and denials.
  • Notifies patients of referral process whether authorized or denied in a timely manner. Give patients instructions.
  • Performs data input of patient and/or insurance changes and corrections to ensure current and accurate information in billing system.
  • Answers the telephone, take messages, schedule appointments and greet patients as needed.
  • Prepares patient charge encounter forms for each day and makes new or updates patient chart as needed.
  • Oversees waiting area, coordinate patient movement, and reports problems or irregularities.
  • Screens visitors and respond to routine request for information.
  • Organizes and files progress notes, testing reports, and other forms necessary for chart completion. Assists with appropriate filing of patient charts as needed.
  • Collects patient responsibility balances and copayments as needed. Balance money collected daily.
  • Opens and distributes daily mail as needed
  • Obtains authorizations from insurance carriers or pharmacy benefit managers for medications.
  • Collects all daily charge slips from the physician and reconciles the number of charge slips and their totals
  • Applies all payments to the appropriate patient account by posting each into the computer billing systems
  • Inputs all charge information into the online billing system
  • Assists with coding and error resolution as well as requesting needed information by working with the physician offices
  • Works with patients in resolving billing questions and patient account resolution
  • As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education:

High School Diploma or GED (required)

Licensure/Certification:

None

Experience:

2-3 years of experience in a related medical field with experience in processing referrals (preferred)

Bon Secours is an equal opportunity employer.

As a Bon Secours associate, you're part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer:

  • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
  • Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
  • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
  • Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

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About Bon Secours

Sourced by ZipRecruiter

As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Marriottsville, MD, US

Year founded

1983

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