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Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement
Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge
Ability to timely and accurately communicate with internal teams and external customers and acts as a liaison with external third party representatives to validate and correct information
Comprehends incoming insurance correspondence and responds appropriately
Accurately enters and/or updates patient/insurance information into patient accounting system
Appeals claims to assure contracted amount is received from third party payors
Compiles and maintains clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account
Requirements:
High School Diploma or General Education Degree (GED)
Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience
Must perform within the scope of departmental guidelines for productivity and quality standards
Basic keyboarding proficiency
Must be able to operate computer and software systems in use at Advocate Aurora Health
Able to operate a copy machine, facsimile machine, telephone/voicemail
Ability to read, write, speak and understand English proficiently
Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals
Ability to communicate well with people to obtain basic information (via telephone or in person)
Nice to have:
Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs