Third Party Billing and Collections Representative

3 weeks ago


Chicago, Illinois, United States Cook County Health and Hospitals Full time
Job Summary

The Third-Party Billing and Follow Up Representative plays a critical role in facilitating the billing and collection processes of outstanding accounts receivable. This position requires strong analytical and problem-solving skills to ensure accurate and compliant coding, charging, and billing information.

Key Responsibilities
  • Facilitate the billing and collection processes of outstanding accounts receivable
  • Analyze claims to determine compliant and accurate coding, charging, and billing information
  • Communicate with internal and external contacts to explain primary, secondary, and tertiary billing, collection, and resolution of claims
  • Monitor daily queues for customer services/quality and productivity to maintain acceptable levels
  • Handle incoming and outgoing billing correspondence and phone inquiries relating to patient, third-party administrators, attorneys, vendors, and other insurance payers
  • Document conversations and/or actions taken to support all claims inquiries, review, and/or reconsiderations
  • Work to resolve any claim or billing concerns and take appropriate action to escalate issues to management when necessary
  • Develop relationships with patients, third-party administrators, attorneys, vendors, and other insurance payers
  • Perform follow-up processes on accounts to work towards a zero balance
  • File timely reconsiderations or reviews of claims with supporting documentation
Requirements
  • High School Diploma or GED
  • A minimum of one year of experience in hospital third-party billing and account follow-up
  • Current experience with a hospital revenue cycle system
  • Knowledge of compliance and regulations for billing and collection practices set forth by local and federal government and any other governing agencies
  • Knowledge of billing and collection processes in a hospital environment
  • Knowledge of Microsoft Office Suite
  • Knowledge of a hospital revenue cycle system
  • Excellent verbal and written communication skills
  • Strong interpersonal and customer service skills
  • Ability to prioritize, plan, and organize projects and tasks
  • Ability to multi-task and meet deadlines in a fast-paced and stressful environment
Benefits

Cook County Health and Hospitals offers a comprehensive benefits package, including medical, dental, and vision coverage, basic term life insurance, pension plan, deferred compensation program, paid holidays, vacation, and sick time. You may also qualify for the Public Service Loan Forgiveness Program (PSLF).



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