Accounts Receivable/ Billing Rep 2

3 weeks ago

Urbana, United States Carle Health Full time

Job Details

Accounts Receivable/ Billing Rep 2

Department: Patient Financial Services

Usual Schedule: Mon-Fri 8am-5pm

Regions: Carle Foundation

On Call Requirements: no

Job Category: Clerical/Admin

Work Location: Carle at The Fields

Employment Type: Full - Time

Nursing Specialty:

Job Post ID: 42401

Secondary Job Category:

Experience Requirements: 1 - 3 Years

Weekend Requirements: no

Education Requirements: HS Diploma/GED

Shift: Day

Location: Urbana, IL

Holiday Requirements: no

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Check out this job opening for Carle Providers: Accounts Receivable/ Billing Rep 2 Check out this job opening for Carle Providers: Accounts Receivable/ Billing Rep 2

Job Description

JOB SUMMARY:

The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined payer product line.

EDUCATIONAL REQUIREMENTS

None Required

CERTIFICATION & LICENSURE REQUIREMENTS

None specified

EXPERIENCE REQUIREMENTS

One (1) year experience in health care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems.

SKILLS AND KNOWLEDGE

Possesses the "other knowledge and skills" of the Accounts Receivable Representative 1. Additionally, has the ability to critically think and solve complex problems and issues with minimal or no supervision.

ESSENTIAL FUNCTIONS:

* Must be able to perform essential job functions of Accounts Receivable Representative 1.
* Handles complex edits, correspondence and advanced level work queues such as but not limited to retro review, EOB balancing, 72 hour bundling rule, consecutive account review and credit adjustment review, etc.
* Handles escalated account activities such as but not limited to healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims, fraud cases and attorney requests, etc.
* Handles escalated appeals.
* Identifies payer and system issues to initiate project requests for process improvements and system optimization.
* Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.
* Accountable for administering the Carle Financial Assistance Program, Illinois Uninsured Discount Program, Prompt Pay Discount Program, etc.
* Directs patients to the appropriate resources to help obtain benefits from outside services.

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All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. We are committed to creating a diverse and welcoming workplace that includes partners with diverse backgrounds and experiences. We believe that enables us to better meet our mission and values while serving customers throughout our communities. People of color, women, LGBTQIA+, veterans and persons with disabilities are encouraged to apply. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com. Positions are not available for remote work in the state of Colorado.

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for Medical or Religious exemption will be permitted.

Illinois Required Notices

* Your Rights Under Illinois Employment Laws
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Federal Required Notices

* Employee Rights under FLSA
* OSHA
* Employee Rights under FMLA
* EEO It's The Law
* Pay Transparency Nondiscrimination Provision
* Employee Polygraph Protection Act
* Your Rights under USERRA

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