Every employee of SIHF Healthcare is expected to uphold our vision, mission, pledge, and values, reflecting service, diversity, integrity, excellence, and teamwork to lead individuals and communities to their healthiest lifestyle.
Serve patients with dignity, respect, and kindness by addressing questions and concerns promptly and supporting customers and team members with patience and positivity.
Responsible for ensuring team performance aligned with SIHF Healthcare's mission and achieving health center or department goals and objectives. Manage department functions including complete aging reports as per regulations.
Review and approve charges for submission to correct third-party payers.
Evaluate outstanding accounts receivable assigned by leadership.
Follow up with third-party payers via provider portals or phone to ensure proper claim processing.
Collaborate with management, SIHF leadership, and health center staff to resolve customer or payer concerns.
Develop relationships with carrier representatives to resolve complex issues.
Identify and report claim rejection trends to leadership.
Research solutions and recommend improvements.
Verify patient third-party payer eligibility.
Identify possible coding errors and coordinate resolution with site managers or team members.
Set examples of professionalism, customer service, and policy adherence.
Provide excellent customer service to patients, clients, and SIHF team members.
Perform routine duties with minimal supervision and assist health center staff in understanding the claim submission process.
Maintain HIPAA compliance and confidentiality of health records.
Other duties as assigned.
Work schedule: Monday through Friday day shift; occasional weekends and overtime.
Comply with all applicable state and federal laws.
Understand and participate in the Patient Centered Medical Home model as part of a team-based patient care approach.
High school diploma or GED and one (1) year of related experience preferred. Understanding of billing rules and regulations for Medicaid, Medicare, private insurance, and self-pay physician services is desired. Well-developed oral and written communication skills. Ability to comprehend instructions and prepare correspondence. Effective presentation skills. Proficient with personal computers, email, record keeping, and common software applications. Ability to multitask and prioritize. Maintain confidentiality. Knowledge of Medicaid, Medicare, FQHC, Commercial, Work Comp, and other third-party payer billing guidelines.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago