at Northwestern Memorial Healthcare in Chicago, Illinois, United States
Job Description
Location Chicago, Illinois
Business Unit Northwestern Medicine Corporate
Job REQID 114242
Job Function Patient Accounting Support
Shift Day Job (1st)
Benefits
$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year($125 for part-time)
Matching 401(k)
Excellent medical, dental and vision coverage
Life insurance
Annual Employee Merit Increase and Incentive Bonus
Paid time off and Holiday pay
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Description
The Fin Assessor SBO Patient Accounting reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
Responsibilities:
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... For full info follow application link.
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.
