at NorthShore University Health System in Warrenville, Illinois, United States
Job Description
Position Highlights: Billing Representative II
Position: Billing Representative II
Location: Warrenville, IL
Full Time
Hours: Monday-Friday, Standard Business Hours
What you will do:
Performs weekly visit reconciliation prior to processing charges in occupational health application.
Generates weekly error report and follows up with appropriate occupational health staff for correction. Updates the manager of occupational health of error trends.
Processes charges when errors are corrected.
Creates and reviews invoices on a weekly basis.
Posts invoices, prints and mails invoices to non-workers comp clients monthly.
Sends workers comp documents to a third party for billing and collection on a weekly basis.
Acts as main point of contact for client billing questions.
Monitors client billing Accounts Receivable for those that are delinquent. Utilizes various report tools, such as reminder queues, aged trial balance reports and other electronic methods to follow up on unpaid claims. Generates reminders and collection notices as needed. Places delinquent clients on a cash only basis. Audits claims and registration information to ensure patient demographic and insurance information is accurate when applicable. Makes necessary corrections in computer system and/or claim as needed.
Reviews and performs refund and/or adjustments on accounts that have a credit balance identified, insurance letter and/or returned check. Contacts third-party payer to resolve possible overpayment when credit amount is in question. Resolves patient overpayment by refunding patient/guarantor or transferring to open accounts.
Responds and researches all billing/collecting issues and resolves them to ensure appropriate insurance payment and patient balance amounts.
Reviews payment vouchers when necessary to ensure appropriate balance due on accounts and performs adjustments when necessary.
Performs adjustments for eligible accounts following the department guidelines.
Accepts credit card information for payment on accounts.
Functions as a Client Service Rep and as a Medical Assistant as needed.
Performs other duties as assigned by Occupational Health management.
What you will need:
Education:
High School Diploma or GED
Basic computer knowledge
Knowledge of accounts receivable and the collection cycle, third-party payer reimbursement policies, refunds and services as liaison for all internal occupational health clinics and external customers.
Experience:
A minimum of one year of customer service experience with strong phone etiquette
Minimum one year of previous hospital patient accounting or customer service experience
Knowledge of governmental billing and reimbursement practices
Knowledge of a hospital's revenue cycle from patient scheduling and registration through billing and collection
Minimum of one year of Business Office and Clinical experience
Knowledge of medical terminology and anatomy
Patient care tech/CMA experience
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. For more information, visit www.endeavorhealth.org.
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 (www.endeavorhealth.org) 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, respect and empathy. We believe that our strength... For full info follow application link.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.