39 Paid Days Off Each Year
Position summary: This position focuses on all elements of revenue cycle processes from claim creation to follow-up on denials, including handling and adjusting patients’ accounts per EOB response. The role also handles patient inquiries about statements, prepares itemized bills for law firms, and processes patient and insurance refunds.
Duties and responsibilities:
- Process missing slips in Athena and create claims according to payer requirements and guidelines.
- Follow up on denied claims and work toward proper resolution.
- Process inpatient charges in Alert MD.
- Process chronic care coordination charges in Time Doc.
- Identify claims that need referrals or additional information for payment.
- Manually post dental payments in Dentrix.
- Process, follow up on, and resolve requests for itemized bills.
- Manage payment plans for patients with outstanding balances.
- Review and analyze account balances to determine proper insurance and patient refunds.
- Follow up with patients when updated insurance information is needed to process claims.
- Maintain regular communication with patients until accounts are paid in full.
- Attend department meetings and all-staff meetings.
- Coordinate and submit settlement offers for approval.
- Perform other duties as assigned.
Requirements & Qualifications
Required skills and abilities:
- Ability to work effectively with a diverse group of professionals across the organization.
- Ability to exercise independent judgment and prioritize effectively.
- Ability to analyze, recommend, and implement creative improvements.
- Ability to work independently and in a team-based environment.
- Strong interpersonal skills with the ability to build working relationships and communicate effectively in a confidential manner.
- Ability to maintain appropriate professional boundaries with staff, trainees, and patients.
- Respect for cultural diversity, gender differences, and sexual orientation of patients and co-workers.
- Strong knowledge of ICD-10, CPT-4, and HCPCS coding, as well as basic medical terminology.
- Ability to interpret and analyze EOBs (explanation of benefits).
- Proficiency with Microsoft Office products (Outlook, Word, Excel, PowerPoint) and Adobe.
Required knowledge, experience, or licensure/registration:
- Bachelor’s degree in business administration, accounting, or finance preferred.
- CPC or CPC-A certification strongly preferred.
- 3–5 years of experience in outpatient/inpatient Medicaid, Medicaid MCOs, Medicare, Medicare Replacement, and commercial insurance billing preferred.
- Prior experience in health care organizations and FQHC strongly preferred.
- Prior experience with Athena EMR strongly preferred.
Benefits & Perks
Benefits and perks:
- 27 days of PTO each year, accrued each pay period
- 3 personal days
- 1 floating holiday
- 8 paid holidays
- Medical, dental, and vision coverage available the 1st of the month following 30 days
- Company-paid life, short-term disability, and long-term disability coverage
- Discretionary 403(b) match and profit sharing after meeting service requirements
- Flexible spending accounts
- Accident and critical illness coverage
- Pet insurance
- 39 paid days off each year
Location
Chicago, Illinois, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago