at NorthShore University Health System in Skokie, Illinois, United States
Job Description
Position Highlights:
Position: Escalation Specialist
Location: Skokie, IL
Full Time
Hours: Standard Business Hours, Mon-Fri
What you will do:
Provides customer and vendor support and assistance by researching, resolving, or referring customer inquiries, i.e. patients, physicians, attorneys, regarding billing and collection practices. Assumes a patient advocacy role by following through on all aspects of patient accounts. Deciphers Commercial, Government and Managed Care contracts in order to effectively communicate with patients and third party intermediaries regarding account status; expedites payment and/or brings resolution to accounts including processing of refunds and other account adjustments. Makes corrections as applicable or forwards to appropriate Claims Processing Specialists for resolution. Prepares call records for each call that requires follow up. Documents a brief summary of the call on patient's computer record.
Serve as a point of contact for vendors and collection agencies. Communicates with vendors via phone, secure email, and applicable technologies and ensures vendor adherence to Northwest Community's guidelines. Reconciles and transfers relevant files and accounts to vendors/external agencies in a timely manner and updates account status when agencies find insurance or address data updates.
Performs proactive vendor account management to reduce adjustments and increase financial performance. Tracks and trends common vendor collection issues and informs manager for education and correction of these issues.
Maintains database of statistics relative to work performed, i.e. telephone statistics, production statistics, etc.; tallies statistics on an ongoing basis. Performs analysis off of system generated Patient Accounting reports that show why patients have called. Presents statistics to management for review.
Participates in development of customer-orientated bills and professional communications; serves as a key resource by providing customer feedback regarding hospital and physician billing/communication processes and makes recommendations for process improvement initiatives. Performs analysis of noted trends. Assists in developing plans, programs and practices to improve the efficiency, accuracy and quality of the work unit and presents recommendations to manager.
Meets productivity and quality targets, error ratios, and reporting requirements, as assigned by the department manager or supervisor, ensuring payments are made properly and in full per contractual agreements. Provides individual contribution to the overall team effort of achieving the department accounts receivables goal. Assists in identifying opportunities for system and process improvement and submits to manager.
What you will need:
Education: Associates degree required, Bachelor's degree preferred
Experience: 1-3 years preferred
Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options, including Domestic Partner Coverage
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Visa Sponsorship Available (Nursing and Lab roles)
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit https://www.endeavorhealth.org/careers.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (https://www.endeavorhealth.org/careers) to better understand how
Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion,... For full info follow application link.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
