Responsible for assisting the revenue cycle team by performing one or more aspects of routine physician revenue cycle billing. Communicate and work with University and UCM departments, patients, payers and other external entities to obtain the necessary information to process claims, collect cash and reduce AR .
Perform patient and insurance for various revenue cycle activities; such as working rejections, no activity follow up accounts, registration-related functions, eligibility inquiries and other activities that contribute to AR/Account Resolution.
Perform revenue cycle activities to resolve the account balance, such as resolving claim edits, rejections, resolve complex Provider Level adjustments (PLBs) credit balances, applying payments and adjustments to accounts.
Responsible to make insurance follow-up phone calls to payers to resolve missing remit file issues.
Work with IT to resolve EDI file load errors and work with payers to resolve missing remit file issues.
Communicate with revenue cycle experts regarding the necessary medical records and clinical and/or billing information needed from the department to resolve accounts and escalate issues when appropriate to revenue cycle experts and/or manager.
Complete daily payment batch reconciliation and create/update accounts within the billing system; including demographic and insurance changes or additions; also maintain documentation within the billing system for account activity.
Assist in tasks related to projects and in the development, coordination and review of procedures.
Correspond with internal and external constituencies to obtain appropriate documentation and/or information in an effort to resolve the account.
Ability to participate as a member of the staff in identifying priorities for the work unit and participate as a member of a work group or team.
Ability to interact and communicate with clarity, tact, and courtesy with patrons, patients, staff faculty, students, and others.
Ability to work with supervision to identify and describe work task priorities
Ability to recognize and resolve or refer problems and conflicts.
Ability to negotiate and manage interpersonal communication effectively.
Ability to understand medical terminology/documentation and basic documentation such as help screens and departmental handouts.
Ability to handle multiple concurrent tasks in competent and professional manner in a fast paced atmosphere.
Ability to solve problems independently with limited direction from the supervisor.
Education, Experience and Certifications:
High School Diploma required.
Previous experience with physician billing required.
Previous experience using electronic medical records systems preferred.
Previous experience with diagnosis and CPT coding terminology required.
Previous experience working with third party payor rules, procedures and policies in physician billing required.
Previous Epic experience preferred.
Previous experience working with Illinois Medicaid preferred.
Medical terminology certification preferred.
Technical Knowledge or Skills:
PC experience and MS Office (Word and Excel) required.
Ability to communicate effectively in English, both orally and in writing.
Ability to use or learn to use a range of position related software applications. These may include standard software packages as well as networked systems, email, the Web, and other types of information structures.
Reference Contact info upon request
NOTE: When applying, all required documents MUST be uploaded under the Resume/CV section of the application
Pay Range: $18.52-$27.12
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Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via the Applicant Inquiry Form.
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