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Billing Representative II
4 months ago
Position Highlights: Billing Representative II
- Position: Billing Representative II
- Location: Warrenville, IL
- Full Time
- Hours: Monday-Friday, Standard Business Hours
What you will do:
- Prepare and submit insurance claims accurately and in a timely manner.
- Determine billable claims, make necessary corrections, and submit claims for reimbursement.
- Monitors accounts for those that are delinquent. Utilizes various report tools, such as Work Queues, aged trial balance reports and other electronic methods to follow up on unpaid claims.
- Analyze patient demographic and claim information to ensure accuracy and compliance with insurance requirement. Make necessary corrections in computer system and/or claim as needed.
- Appeal claims denials and work to resolve outstanding issues with insurance companies.
- Generate and review reports related to billing and collections. Updates the supervisor of PFS of error trends.
- Communicate with Coding, Revenue Integrity, and Patient Access departments to address and correct billing issues.
- Review and perform refund and/or adjustments on accounts that have a credit balance identified, Contacts patients and insurance companies to resolve possible overpayment when credit amount is in question.
- Researches all billing/collecting issues and resolves them to ensure appropriate insurance payment and patient balance amounts.
- Reviews payment vouchers when necessary to ensure appropriate balance due on accounts and performs adjustments when necessary.
- Performs other duties as assigned by PFS management.
What you will need:
Education:
- High School Diploma or GED Required
- Basic computer knowledge
- Knowledge of accounts receivable and the collection cycle and Government payers' reimbursement policies.
Experience:
- Minimum one year of previous hospital medical billing and collections is required.
- Knowledge of governmental billing and reimbursement practices.
- Experience working with various insurance plans, including Medicare and Medicaid.
- Knowledge of a hospital's revenue cycle from patient scheduling and registration through billing and collection.
- Knowledge of legal requirements and regulations related to medical billing.
- Knowledge of medical terminology and anatomy.
- Understanding of Explanation of Benefits documents.
- Strong organizational skills and attention to detail.
- Effective communication skills, both verbal and written.
- Ability to Work in a High-Pressure Environment: Capable of working efficiently in a fast-paced environment.
Benefits:
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options, including Domestic Partner Coverage
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
- Visa Sponsorship Available (Nursing and Lab roles)
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit .
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website () to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
