at Shirley Ryan AbilityLab in Chicago, Illinois, United States
Job Description
By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes - as we Advance Human Ability, together.Job Description Summary
The Patient Financial Services Specialist I will perform basic billing and collection functions that assist in reducing the open receivable for Shirley Ryan Ability Lab (SRAlab). Ensures compliance with insurance payer and SRAlab policies.
The Patient Financial Services Specialist I will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.
The Patient Financial Services Specialist I will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.
Job Description
The Patient Financial Services Specialist I will:
Obtain and track claim status via online portals and via phone.
Compose and follow up on claim appeals.
Identify, address, submit or process adjustments, over payments and outstanding balances.
Process billing for all financial classes including Commercial, Federal, and State plans, as assigned, ensuring confidentiality of patient billing information and HIPPA compliance.
Review Insurance Explanation of Benefits to facilitate account resolution.
Allocate co-insurance and deductible appropriately within the Cerner system
Review and address incoming mail correspondence.
Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
Reporting Relationships
Reports directly to the Manager, Patient Financial Services
Knowledge, Skills & Abilities Required
Educational level appropriate with what is typically gained through the acquisition of a High School Diploma.
Minimum 1 year of experience with hospital billing and/or collecting from health insurance carriers.
Knowledge of governmental billing regulations preferred.
Previous experience with insurance collections, appeals, follow-up in hospital setting.
Familiar with UB-04 and HCFA 1500 billing regulations.
Ability to build relationships with insurance carriers and representatives.
Understand business implications of decisions.
Maintain all production standards as outlined for assigned work.
Ability to keep up to date with insurance billing regulation changes as assigned.
Ability to quickly learn to bill specific financial classes/Payors as assigned as assigned.
Strong verbal and written communication skills.
Ability to perform basic mathematical functions.
Working Conditions
Normal office environment with little or no exposure to dust or extreme temperature.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Equal Employment Opportunity
ShirleyRyan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. To view full details and how to apply, please login or create a Job Seeker account
