at Ann & Robert H. Lurie Children's Hospital of Chica in Lake Forest, Illinois, United States
Job Description
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location680 Lake Shore Drive
Job Description
Ensures claims are received by payers. Take necessary actions to resolve all claim edits and claim rejections.
Researches and analyzes account information such as: authorization/certification received; benefit verification for completeness and accuracy of billing; coding structures meeting the payer regulations and corresponding to the appropriate billing form; procedural and diagnostic coding; posting of automatic contractual allowances per the payer agreements; for accounts receivable resolution and outstanding insurance balances.
Identifies and process eligibility issues to resolves recurring problems that delay the submission/resolution of an accurate bill.
Documents actions taken and account statuses in the appropriate hospital system so that all staff working an account are aware of the information.
Update insurance information on accounts as needed. Utilize work queues to follow-up on outstanding claims.
Assist others and work as a team to achieve departmental collections goals. Communicates with all payers in accordance with Lurie Children's policies in order to resolve accounts.
Ensures reimbursement is maximized through exhausting all internal efforts towards resolution of a claim.
Performs due diligence as outlined by department policies and procedures. Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
Other job functions as assigned.
Knowledge, Skills & Abilities:
High school graduate required; two to three years of physician or hospital billing experience and/or training preferred.
Knowledge of ICD-10 coding, medical terminology, third party billing and collections, required.
EPIC experience preferred.
Excellent communication and listening skills.
Problem solving ability and able to handle multiple priorities.
Must be able to track, respond, trend, and multitask within the practice management system.
Knowledge of windows-based personal computers is required and experience with electronic claims editing software preferred.
Demonstrates effective utilization of the features of the telephone system in order to achieve greater productivity with appropriate collection practices and techniques.
Thorough knowledge of patient accounting, third party payer procedures, governmental regulations and managed care contracting to be effectively proactive in the billing and collection process, and to respond to inquiries on patient accounts in a customer satisfaction manner.
Must be self-directed / self-motivated; must have good communication and interpersonal skills.
Perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure.
Accept responsibility for one's own work; works independently.
EducationHigh School Diploma/GED (Required)
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children's facilities
Discount purchasing program
There's a Place for You with Us
At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their... For full info follow application link.
EEO/AA Employer/Vets/Disability
