at Cook County Government in Chicago, Illinois, United States
Job Description
Job Posting:Jul 8, 2024, 9:39:46 AMClosing Date:Jul 22, 2024, 11:59:00 PMFull-timeShift Start Time:8:00A.M.Shift End Time:4:00P.M.
Collective Bargaining Unit:AFSCME 1178 Health and Hospital SystemsPosting Salary:Starting Salary: $24.654
Organization:Health and Hospital Systems
LOCATION: 600 Holiday Plaza Drive, 4th Floor
Matteson, IL 60443
SHIFT: 8:00AM - 4:00PM
JOB SUMMARY AFSCME 1178
The Third-Party Billing & Follow-Up Representative facilitates the billing and collection processes of outstanding accounts receivable. Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic, and billing information is updated. Makes recommendations to improve billing and collection practices in an effort to decrease the reimbursement timeframe and accuracy of payment. Processes legal requests for information; ensures proper authorization is on file to support the request.
(Multiple Vacancies)
Typical Duties
Facilitates the billing and collection processes of outstanding accounts receivable
Communicates with internal and external contacts to explain primary, secondary and tertiary billing, collection and resolution of claims including Medicare and other government and non-government accounts
Monitors daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments, alerts management of high call volume patterns
Handles incoming and outgoing billing correspondence and phone inquiries relating to patient, third party administrators, attorneys, vendors and other insurance payers
Documents conversations and/or actions taken to support all claims inquiries, review and/or reconsiderations; streamlines the follow-up process of team members assisting on the file
Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic, and billing information is updated
Works to resolve any claim or billing concerns and takes appropriate action to escalate issues to management when appropriate
Develops relationships with patients, third party administrators, attorneys, vendors and other insurance payers
Performs follow-up processes on accounts to work towards a zero balance
Files a timely reconsideration or review of claim with supporting documentation such as a corrected claim, medical records and letter of explanation as necessary; communicates with departments to gather information needed to resolve the claim
Makes use of the software and hospital systems in accordance to hospital policies and procedures
Performs account system updates such as changes to financial class, eligibility status, payor contact information or rebills
Communicates with team members of any changes or updates that may impact workflow outcomes such as billing address or contact information
Performs balance transfers
Develops weekly productivity reports for management; makes recommendations to improve billing and collection practices in an effort to decrease the reimbursement timeframe and accuracy of payment
Processes legal requests for information; ensures proper authorization is on file to support the request
Maintains compliance with all billing and collections practices and regulations set forth by local and federal government and any other governing agencies to include but not limited to Center for Medicaid & Medicare Services (CMS), American Health Information Management Association (AHIMA), Health Insurance Portability and Accountability Act (HIPAA), etc.
Completes annual education requirements
Performs special projects and other duties as assigned.
Minimum Qualifications
High School Diploma or GED is required (must provide proof at time of interview)
One (1) year of experience in hospital Third Party Billing and Account Follow-up is required
Current experience with a Hospital Revenue Cycle System is required
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
Preferred Qualifications
One (1) year of experience in Hospital Third Party Billing and Account Follow-up within a Multi-Hospital System
Bilingual English/Spanish or English/Polish
Knowledge, Skills, Abilities and Other Characteristics
Knowledge and familiarity with billing hierarchy levels and order of facilitation
Knowledge of compliance and regulations for billing and collection practices set forth by local and federal government and any other governing agencies
Knowledge of billing and collection processes in a hospital environment
Knowledge of Microsoft Office Suite
Knowledge of a hospital revenue cycle system
Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
Strong interpersonal and customer service skills
Demonstrate good phone and email... For full info follow application link.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
