The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This role includes communication and research regarding patient accounts with internal departments and external payers.
Duties
- Run daily reports to prepare billing follow-up for patient accounts with Medicare, Medicaid, Blue Cross, commercial, and other third-party payers.
- Make outgoing and incoming calls to patients, insurance companies, and other parties regarding claim status and billing questions.
- Ensure timely and accurate follow-up with insurance companies based on established policies and procedures.
- Review patient account information received from admissions and outpatient registration; identify missing information and determine next steps.
- Respond to billing questions and provide clarification to customers.
- Maintain communication with insurance payers, outside agencies, and internal departments.
- Refer non-routine issues to management for clarification.
- Update and prepare correspondence to customers and insurance payers as needed.
- Process and scan EOBs and correspondence within 2 business days.
- Re-bill and reprocess denials and rejections to resolve issues with insurance payers.
- Handle incoming patient calls regarding insurance and billing.
- Process walk-ins.
- Resolve credit balance reports monthly.
- Work the denial program daily.
- Perform other duties assigned by the Director of PFS or Executive Director of Revenue Cycle.
Work Schedule
- Full-time, 40 hours per week
- Monday through Friday, 8:00 AM to 4:30 PM
Requirements & Qualifications
Required Qualifications
- General knowledge of mathematics and accounting principles.
- Previous experience with billing forms for different insurance plans.
- Knowledge of medical terminology.
- Familiarity with legal and ethical compliance in charging and billing.
- Previous experience with billing policies and procedures.
- Analytical skills to evaluate claims for billing and payment errors.
- Knowledge of patient rights.
- Strong communication skills for assisting patients with billing questions and concerns.
Preferred Qualifications
- AAHAM CRCS certification preferred.
Physical Requirements
- Knowledge of PCs, keyboard use, calculators, copiers, printers, and other office equipment.
- Ability to perform light physical activity, including lifting, standing, and sitting at a workstation for up to four hours at a time.
- Ability to lift and carry up to 10 pounds.
- Visual acuity to observe and obtain information and use documentation.
- Auditory acuity for fluent communication.
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago