Billing Follow Up Rep I

4 weeks ago

Oak Brook, United States Advocate Health Full time

MAJOR RESPONSIBILITIES

  • Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.
  • Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources.
  • Ability to timely and accurately communicate with internal teams and external customers (ie; third party payors, auditors, other entity) and acts as a liaison with external third party representatives to validate and correct information.
  • Comprehends incoming insurance correspondence and responds appropriately. Identifies and brings patterns/trends to leaderships attentionre:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.
  • Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors.
  • Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.
  • Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.
  • Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH.
  • This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate accountinformation. Approval needed to write off balance's according to corporate policy. Issues outside normal scope of activity and responsibility.

MINIMUM EDUCATION AND EXPERIENCE REQUIRED

  • Level of Education: High School Diploma or General Education Degree (GED)
  • Years of Experience: Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES (KSA)

  • Must perform within the scope of departmental guidelines for productivity and quality standards.
  • Works independently with limited supervision.
  • Accountable and evaluated to organization behaviors of excellence
  • Basic keyboarding proficiency.
  • Must be able to operate computer and software systems in use at Advocate Aurora Health.
  • Able to operate a copy machine, facsimile machine, telephone/voicemail.
  • Ability to read, write, speak and understand English proficiently.
  • Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
  • Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
  • Ability to communicate well with people to obtain basic information (via telephone or in person).

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

  • 310506 - Billing Follow Up Rep Ld

    1 week ago

    Oak Brook, Illinois, United States Advocate Health Full time

    MAJOR RESPONSIBILITIESResponsible for daily claims submissions to the appropriate payer source. Communicates with internal and external parties to resolve charging issues affecting the claims. Reports trends with other departments that may improve the claims submission process.May be responsible for collection of an assigned section of the insurance...

  • Billing Follow Up Rep I

    3 weeks ago

    Oak Brook, United States Advocate Health Full time

    MAJOR RESPONSIBILITIESIndependently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge...

  • Billing Follow-up Rep I-Tapestry

    5 days ago

    Oak Brook, United States Advocate Aurora Health Full time

    Department: 10408 Revenue Cycle - IL PB Non Government Billing Operations Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Full time Remote MAJOR RESPONSIBILITIES Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum...

  • Hospital Billing and Follow-up Quality Assurance Specialist

    2 weeks ago

    Oak Brook, United States Jorie AI Full time

    Job DescriptionJob DescriptionSalary: $28.00 - $32.00The Hospital Billing and Follow-up Quality Assurance Specialist is responsible for the quality assurance of our medical billing department. In this role, you will be responsible for ensuring quality in areas including but not limited to AR, billing, collections, follow-up, analytics, and payer guidelines....

  • Customer Svc Trainee

    7 days ago

    Oak Brook, United States Advocate Health Full time

    Major Responsibilities: Acts as a resource, assists teams with more complex issues/problem resolution, and may assist in providing necessary employee training. Analyzes daily statistics to look for any trends which are reported to management. Answers customer inbound billing calls in a high-volume call center environment to service and retain customers....

  • Billing Coordinator

    3 weeks ago

    Pine Brook, United States The Rockridge Group Full time

    Job DescriptionJob Description TITLE: BILLING COORDINATORJob Summary:Compiles, manages, and executes attorney billing. Creating and sending invoices, tracking payment processes, keeping meticulous records and resolving discrepancies. Handle client complaints and follow up on any issues relating to the billing process. Perform other duties as assigned....

  • Medical Billing Payment Poster

    4 weeks ago

    Oak Brook, United States Relief Mental Health Full time

    **About Us**: Relief Mental Health was founded in February of 2020. Within these 3 years we have expanded to 10 new offices across Illinois, Wisconsin, and New Jersey. We aim to create a new standard for mental health care, offering a continuum of innovative therapeutic interventions and responding to evolving patient needs. *PLEASE NOTE THIS IS NOT A REMOTE...

  • Accounts Receivable Billing Specialist

    4 weeks ago

    Oak Creek, United States MRA Recruiting Services Full time

    Job DescriptionJob DescriptionBliffert Lumber & HardwareAccounts Receivable Billing Specialist Onsite RoleOak Creek, WIBliffert Lumber is on the lookout for a dynamic individual to fill the role of Accounts Receivable Billing Specialist.If you thrive in a fast-paced environment, excel at building lasting customer relationships, and possess a keen eye for...

  • Billing Specialist

    1 week ago

    Oak Ridge, United States Ridgeview Full time

    RIDGEVIEW, a not-for-profit community mental health center based in Oak Ridge, TN, has an immediate opening for a full-time Healthcare Billing Specialist. The schedule will be weekdays, 8am-4:30pm. The right candidate will join a close knit billing team following timely, accurate, HIPAA-compliant billing practices that complement the accounting side of the...

  • Billing Specialist

    2 days ago

    Oak Ridge, United States Ridgeview Full time

    RIDGEVIEW, a not-for-profit community mental health center based in Oak Ridge, TN, has an immediate opening for a full-time Healthcare Billing Specialist. The schedule will be weekdays, 8am-4:30pm. The right candidate will join a close knit billing team following timely, accurate, HIPAA-compliant billing practices that complement the accounting side of the...

  • HIT Service Desk Analyst I

    1 week ago

    Oak Brook, United States Advocate Health Full time

    Major Responsibilities: Provides initial support troubleshooting, answering questions and resolving basic problems and issues related to LAN/WAN-based software, desktop computing equipment, printers, network status and applications. Gathers information about the problem from the end-user by asking clarifying questions, presenting options and/or solutions...

  • HIT Service Desk Analyst I

    2 weeks ago

    Oak Brook, United States Advocate Health Full time

    Major Responsibilities: Provides initial support troubleshooting, answering questions and resolving basic problems and issues related to LAN/WAN-based software, desktop computing equipment, printers, network status and applications. Gathers information about the problem from the end-user by asking clarifying questions, presenting options and/or solutions...

  • Clinical Therapist

    2 weeks ago

    Oak Brook, United States A Better Tomorrow: Behavioral Health Care Center Full time

    Are you looking for the independence of private practice but also want a work family? Do you want to come to your office, see your clients and leave the billing and insurance to someone else? Then come work with me at "A Better Tomorrow: Behavioral Health Care Center."We are looking for professionals who yearn for the independence of being in private...

  • Clinical Therapist

    4 weeks ago

    Oak Brook, United States A Better Tomorrow: Behavioral Health Care Center Full time

    Are you looking for the independence of private practice but also want a work family? Do you want to come to your office, see your clients and leave the billing and insurance to someone else? Then come work with me at "A Better Tomorrow: Behavioral Health Care Center."We are looking for professionals who yearn for the independence of being in private...

  • Treatment Coordinator

    7 days ago

    Oak Lawn, United States Eco Friendly Dentistry PC Full time

    Job Summary: We are seeking a detail-oriented Treatment Coordinator to join our healthcare team with previous experience. The Treatment Coordinator plays a crucial role in ensuring the smooth operation of the office by coordinating patient treatment plans and assisting with administrative tasks. **Duties**: - Coordinate treatment plans for patients,...

  • Senior Reimbursement Support Manager

    2 days ago

    Oak Brook, United States Extremity Care Full time

    Job Description Job Description Salary: 95,000+ Purpose: The Senior Reimbursement Support Manager plays a pivotal role in overseeing and optimizing reimbursement processes to ensure accuracy, compliance, and efficiency. This position is responsible for leading a team, streamlining procedures, and providing exceptional support to clients and internal...

  • Title/Billing Clerk

    3 weeks ago

    Oak Ridge, United States Ole Ben Franklin Motors Full time

    Job DescriptionJob DescriptionOle Ben Franklin Mitsubishi is hiring for a Title/Billing Clerk in our business office located in Oak Ridge, TN.  The Title/Billing Clerk processes car deals, verifies costs, and prepares legal transfer of documents for the DMV.Essential Duties & Responsibilities: • Prepare tax and title documents. • Submit all legal...

  • Title/Billing Clerk

    3 weeks ago

    Oak Ridge, United States Ole Ben Franklin Motors Full time

    Job DescriptionJob DescriptionOle Ben Franklin Mitsubishi is hiring for a Title/Billing Clerk in our business office located in Oak Ridge, TN. The Title/Billing Clerk processes car deals, verifies costs, and prepares legal transfer of documents for the DMV.Essential Duties & Responsibilities: • Prepare tax and title documents. • Submit all legal transfer...

  • Title/Billing Clerk

    3 weeks ago

    Oak Ridge, United States Ole Ben Franklin Motors Full time

    Job DescriptionJob DescriptionOle Ben Franklin Mitsubishi is hiring for a Title/Billing Clerk in our business office located in Oak Ridge, TN. The Title/Billing Clerk processes car deals, verifies costs, and prepares legal transfer of documents for the DMV.Essential Duties & Responsibilities: • Prepare tax and title documents. • Submit all legal transfer...

  • Senior Reimbursement Support Manager

    1 week ago

    Oak Brook, United States Extremity Care Full time

    Job DescriptionJob DescriptionSalary: 95,000+Purpose: The Senior Reimbursement Support Manager plays a pivotal role in overseeing and optimizing reimbursement processes to ensure accuracy, compliance, and efficiency. This position is responsible for leading a team, streamlining procedures, and providing exceptional support to clients and internal...