Financial Assessor SBO Patient Accounting - SBO Self Pay, Full-Time, Days
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Chicago, IL 60290
Timely resolution of all claim edits and management & reporting of candidates for bill. Outbound compliant bill submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims. Timely follow-up and collection of third party payer receivables and tracking of third party yields. Denials and Appeals resolution including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution. Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.). Adhere to all regulatory billing requirements reporting any suspected breaches or concerns to the Patient Accounting Manager and Corporate Integrity & Compliance (HIPAA, Patient Privacy, and ACA Consumer Protections). Consistently meet the current productivity and quality standards in edit resolution, account follow-up, payment processing activities including payment posting, reconciliation and refunds, handling high volume of phone calls, including wrap up time between calls, ready status/availability for calls, and timely handling of patient concerns and correspondence, while maintaining the Patient First philosophy. Receive and direct the public, in person or by telephone, in a professional and courteous manner. Answer patient inquiries with the objective of resolving the patient issue in one call or directing inquiries to the appropriate representative if the issue cannot be resolved immediately. Enter appropriate documentation of all account activity. Provide clerical support to the management and supervisory staff as needed. Manage early-out vendor return accounts as outlined in the NMHC Self-Pay Collection Procedure. Coordinate communication with early-out vendor staff regarding patient accounts, concerns, and complaints as outlined in the NMHC Self-Pay Collection Procedure. Enter appropriate documentation of all new insurance information to restart the billing and follow-up cycle as appropriate. Respond to patient, payor, and employee inquiries regarding hospital and professional balances, financial assistance applications, and both hospital and clinics visits as they relate to the SBO. Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Seamlessly transition patient calls to and from early out vendor staff as required. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals. Identify opportunities for customer, system and process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities
- Excellent internal/external customer service skills.
- Excellent communication skills to include oral and written comprehension and expression.
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability or sexual orientation.
Employer’s Job# 0062179
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