Responsible for supporting the revenue cycle team by handling routine physician revenue cycle billing activities. This role works with university departments, patients, payers, and external entities to obtain the information needed to process claims, collect payments, and reduce accounts receivable.
Key duties include:
- Working rejections, no-activity follow-up accounts, registration-related functions, and eligibility inquiries
- Resolving claim edits, rejections, provider-level adjustments, credit balances, and payment/application issues
- Making insurance follow-up calls to payers regarding missing remit file issues
- Partnering with IT to resolve EDI file load errors
- Communicating with revenue cycle experts to obtain medical records and billing information needed to resolve accounts
- Completing daily payment batch reconciliation and updating account demographics and insurance information
- Maintaining documentation in the billing system
- Assisting with projects and procedure development, coordination, and review
- Corresponding with internal and external stakeholders to obtain documentation needed to resolve accounts
Requirements & Qualifications
Education
- High school diploma or GED required
Experience
- Previous experience with physician billing required
- Experience with physician accounts receivable follow-up required
- Previous experience with diagnosis and CPT coding terminology required
- Previous experience working with third-party payer rules, procedures, and policies in physician billing required
- Experience working with UB04 and/or CMS 1500 required
- Previous experience using EMR systems preferred
- Previous Epic EMR experience preferred
- Experience working with government payors such as Medicare, Medicare Advantage, Medicaid, and Medicaid MCOs preferred
Certifications
- Medical terminology certification preferred
- CPT certification preferred
Skills
- Proficiency with Microsoft Office suite
- Working knowledge of healthcare billing and clinical systems
- Strong understanding of federal and state reimbursement regulations
- Ability to interpret encounter forms, medical records, physician documentation, lab reports, and policy/procedure manuals
- Strong communication, problem-solving, and multitasking skills
Benefits & Perks
Eligible employees may receive benefits including:
- Health coverage
- Retirement benefits
- Paid time off
Location
Chicago, Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 months ago
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