Responsible for supporting the revenue cycle team by performing routine physician revenue cycle billing tasks. The role works with University and UCM departments, patients, payers, and other external entities to gather the information needed to process claims, collect cash, and reduce accounts receivable.
Key responsibilities include:
- Working rejections, no-activity follow-up accounts, registration-related functions, eligibility inquiries, and other account resolution activities
- Resolving claim edits, rejections, provider-level adjustments, credit balances, and applying payments and adjustments
- Making insurance follow-up calls to payers to resolve missing remit file issues
- Partnering with IT to resolve EDI file load errors and payer-related remit file issues
- Communicating with revenue cycle experts to obtain medical records and billing/clinical information needed to resolve accounts
- Completing daily payment batch reconciliation and updating accounts in the billing system
- Maintaining documentation of account activity and assisting with projects, procedure development, coordination, and review
- Corresponding with internal and external parties to obtain documentation needed for account resolution
Requirements & Qualifications
Qualifications
- High school diploma or GED required
- Previous experience with physician billing required
- Experience with physician accounts receivable follow-up required
- Previous experience with diagnosis and CPT coding terminology required
- Experience working with third-party payor rules, procedures, and policies in physician billing required
- Experience working with UB04 and/or CMS 1500 required
- Previous experience using electronic medical records (EMR) systems preferred
- Previous Epic EMR experience preferred
- Experience working with government payors such as Medicare, Medicare Advantage, Medicaid, and Medicaid MCOs preferred
- Medical terminology certification preferred
- CPT certification preferred
Skills
- Proficiency with Microsoft Office Suite
- Ability to interpret encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals
- Thorough knowledge of federal and state reimbursement regulations
- Strong understanding of healthcare billing and clinical systems
- Ability to manage multiple tasks in a fast-paced environment
- Strong communication, problem-solving, and teamwork skills
Benefits & Perks
Eligible employees receive a wide range of benefits, including health, retirement, and paid time off.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 months ago
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