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Account Representative jobs at UnityPoint Health - 1014 jobs

  • Scheduling/Billing Specialist Lead (Full Time)

    Unitypoint Health 4.4company rating

    Account representative job at UnityPoint Health

    Assists the therapy business services leadership in the operation and organization of the outpatient therapy office areas in addition to the assigned scheduling and financial specialist duties: reception, billing, scheduling, charge and data entry, insurance pre-authorization, verification and benefit coordination, report preparation, filing, record keeping and other duties for one or more areas within Physical Medicine and Rehabilitation. Responsibilities include ensuring adequate staffing on a daily basis for all clinics, training and maintaining competencies for office staff, and working insurance denials. Adheres to detail in the performance of rehabilitation procedures, solving practical problems, resolving conflict, and implementing constructive change. Serves as a member of the rehabilitation team and supports the direction and accomplishment of hospital short and long-range goals. Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Non-Clinical Excellence Scheduling/receiving/greeting: Receives patients and visitors and answers telephone; screens calls and callers, referring them to the appropriate person. Creates a welcoming environment for person's served. Effectively manages positive relationships with referral sources and other members of the team. Schedules all patient appointments. Coordinates all modifications to patient schedules, including reschedules, cancellations, no-shows and discharges. Manages providers calendars. Billing/insurance/counseling: Verifies insurance eligibility and insurance coverage for assigned department(s) via phone or internet. Contacts patients prior to first appointment and counsel's patient on coverage. If unable to contact patient prior to first appointment, counsels them when they arrive for first appointment. Documents in account notes in EPIC. Gathers billing information for patients with worker's comp insurance (employer demographics, responsible billing party, billing address) and coordinates authorization for services. Manages and coordinates pre-authorizations for services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits. Coordinates Price-line requests for estimate of cost for the patient. Counsels patients on process for estimates of their payment for therapy, prompt pay, and financial assistance applications. Accurate billing/collections/denials: Reconciles daily patient attendance and charges posted with revenue/usage reports. Responds to patient's questions regarding their account and ensures solutions to patient billing, complaints or concerns. Demonstrates ability to effectively manage details by accurately completing registration/referrals, maintaining medical records, and charge correction. Collects payment as needed Monitors and completes accounts on multiple work queues in EPIC, including referrals and denials. Problem solves, analyzes and collaborates with patient, therapist, Central Billing Office, Revenue Cycle department, and insurance companies to identify and resolve billing and denial issues, including sending appeals and trouble- shooting and correcting claim or account errors. Documents denials and billing issues to identify processes that need improvement in order to maximize efficiency and ensure proper payment within the department. Daily and/or weekly duties: Creates and modifies documents using word processing and spreadsheet computer programs. Maintains designated filing and record keeping systems. Assists with preparation of reports, graphs, and statistical information. Orders supplies for department. Serves as payroll timekeeper for assigned departments. Performs other related secretarial and clerical functions as requested. Other essential duties and job responsibilities Responsible for maintaining adequate coverage of office personnel at all outpatient clinics on a day to day basis Trains office staff to assist in all appropriate duties Keeps current with changes in hospital office procedures and shares with scheduling staff Provides leadership, training and guidance to office staff Assures accurate daily and monthly billing Qualifications Must be at least a high school graduate Prior administrative experience in healthcare Writes, reads, comprehends and speaks fluent English Multicultural sensitivity Microsoft Office and Outlook - basic computer skills Customer/patient focused Critical thinking skills using independent judgment in making decisions High organizational skills Ability to multi-task High attention to detail Use of usual and customary equipment used to perform essential functions of the position
    $27k-32k yearly est. Auto-Apply 15d ago
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  • Sales Representative - Omaha, NE - Endoscopy

    Stryker 4.7company rating

    Lincoln, NE jobs

    **** **Why join Stryker?** Looking for a place that values your unique talents? Discover Stryker's award-winning culture. We are proud to offer you 12 paid holidays annually. For an overview of our benefits and time off, please follow this link to learn more: US Stryker employee benefits (******************************************************************************************************************************** **Job description** **The Company** Stryker is one of the world's leading medical technology companies and together with our customers, we are driven to make healthcare better. The Company offers a diverse array of innovative medical technologies, including orthopedics, medical and surgical, and neurotechnology & spine products to help people lead more active and more satisfying lives. Stryker products and services are available in over 100 countries around the world. **What you will do** As a Stryker Endoscopy Sales Representative, you are a trusted partner in brilliant visualization and unrivaled connected OR solutions. Stryker provides you with market leading technology with a respective bag of products that allows you to dominate market share. Stryker's visualization platform enables you to distinguish anatomy across all minimally invasive procedures, while providing a simple, yet personalized experience. Our long history of innovation and constant development in advanced imaging and OR connectivity is driven by the desire to allow you to see and do more. **Our Mission** Together with our customers, we are driven to make healthcare better. **Who we want** Sets direction. An innovator who defines ways to create value and deliver on Stryker's mission and strategic imperatives. Builds organizational capability. A strategic executive who continuously breaks down barriers, identifying new and more effective ways to accomplish tasks and goals. Inspires others. A genuine, relationship-focused leader who connects, collaborates, and fosters an inclusive environment of enthusiasm, trust, and pride. He/she makes others want to follow, building momentum for action and positively influencing outcomes. Delivers results. A driven player/coach who sets ambitious goals for personal achievement and organizational success. He/she measures success against the best internal and external benchmarks. Curious learners. People who seek out cutting-edge research and information to expand and enhance their ability to be ready for what is next. Goal-oriented developers. Keeping the customer and requirements squarely in focus, people who deliver safe and robust solutions. **What we offer** A culture driven to achieve our mission and deliver remarkable results. Coworkers committed to collaboration and winning the right way. Quality products that improve the lives of our customers and patients. Ability to discover your strengths, follow your passion and own your own career **Responsibilities** Promotes and sells Stryker Endoscopy products within approved indications for use. Educates and informs doctors, nurses, and appropriate staff personnel as to the proper use and maintenance of Stryker Products. Directs product evaluations in OR and office settings. May assist in the preparation and operation of trade shows, conventions, and/or clinical meetings. Keeps regional manager informed of territory progress on a regular basis. Solves product problems for customers in an expeditious fashion. May assist in the training and development of sales personnel. **Experience/skills required** 2-5 years in an outside sales position (medical related experience preferred). A minimum education level of a bachelor's degree or equivalent of five (5) years of commercial sales experience or medical field experience that includes operating room experience. Must be able to routinely negotiate price and terms of transactions between Stryker and its customers. Must have a fundamental understanding of all products and be able to disseminate this knowledge to the customers. Must be able to effectively respond to customer questions and resolve challenges. Ability to analyze and prioritize market potential based call patterns. Excellent interpersonal, analytical, and organizational skills. Must be able to communicate with large groups of people. Must be able to communicate effectively via telephone and electronic means (i.e., email, text, etc.). Must be able to operate common office equipment (i.e., Smart phone, Tablet, Microsoft Office, Outlook). Medium work: Exerting up to fifty (50) pounds of force occasionally and/or up to twenty (20) pounds of force frequently to move objects. Up to 20% overnight travel annually Must be able to drive an automobile Health benefits include: Medical and prescription drug insurance, dental insurance, vision insurance, critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation program. Financial benefits include: Health Savings Account (HSA), Flexible Spending Accounts (FSAs), 401(k) plan, Employee Stock Purchase Plan (ESPP), basic life and AD&D insurance, and short-term disability insurance. Stryker offers innovative products and services in MedSurg, Neurotechnology and Orthopaedics that help improve patient and healthcare outcomes. Alongside its customers around the world, Stryker impacts more than 150 million patients annually. Depending on customer requirements employees and new hires in sales and field roles that require access to customer accounts as a function of the job may be required to obtain various vaccinations as an essential function of their role. Health benefits include: Medical and prescription drug insurance, dental insurance, vision insurance, critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation program. Financial benefits include: Health Savings Account (HSA), Flexible Spending Accounts (FSAs), 401(k) plan, Employee Stock Purchase Plan (ESPP), basic life and AD&D insurance, and short-term disability insurance. Stryker offers innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside its customers around the world, Stryker impacts more than 150 million patients annually. Depending on customer requirements employees and new hires in sales and field roles that require access to customer accounts as a function of the job may be required to obtain various vaccinations as an essential function of their role. Stryker Corporation is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. Stryker is an EO employer - M/F/Veteran/Disability.
    $41k-55k yearly est. 8d ago
  • Patient Account Specialist

    La Rabida Children's Hospital 4.2company rating

    Chicago, IL jobs

    La Rabida Children's Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay. Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions. The hospital's enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease. Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for youth in care, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County Job Description We are seeking a detail-oriented and efficient Patient Account Specialist to join our healthcare organization in Chicago, United States. In this role, you will be responsible for managing patient accounts, ensuring accurate billing, and resolving financial inquiries to maintain a smooth revenue cycle. Process and manage patient accounts, including billing, collections, and payment posting Verify insurance coverage and obtain necessary pre-authorizations for medical procedures Analyze and resolve claim denials and rejections in a timely manner Communicate with patients, insurance companies, and healthcare providers to address billing inquiries and discrepancies Maintain accurate patient financial records and update account information in the Electronic Health Record (EHR) system Collaborate with other departments to ensure proper documentation and coding for billing purposes Generate and review financial reports to identify trends and areas for improvement Assist in the development and implementation of policies and procedures to enhance revenue cycle efficiency Ensure compliance with healthcare regulations, including HIPAA, in all financial transactions and communications Qualifications 2-3 years of experience in patient accounting, medical billing, or a related healthcare finance role Proficiency in medical billing and coding practices Strong knowledge of healthcare revenue cycle management Experience with Electronic Health Record (EHR) systems and Microsoft Office Suite Excellent attention to detail and ability to manage multiple priorities efficiently Strong verbal and written communication skills for interacting with patients, insurance representatives, and healthcare professionals Problem-solving skills and ability to analyze complex financial data Customer service orientation with a professional and supportive demeanor Bachelor's degree in Healthcare Administration, Business Administration, or related field (preferred) Certified Revenue Cycle Representative (CRCR) or similar certification (preferred) Familiarity with healthcare industry regulations, particularly HIPAA Understanding of insurance claim processes and medical terminology Additional Information All your information will be kept confidential according to EEO guidelines. La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on. La Rabida Children's Hospital is very proud to be an Equal Employment Opportunity Employer.
    $51k-70k yearly est. 4d ago
  • Patient Account Rep - Customer Service & Collections

    Vancouver Clinic 4.1company rating

    Vancouver, WA jobs

    Schedule: Tuesday through Saturday, 8:00a - 4:30p ( after successful completion of Monday through Friday, 8:00a-4:30p training ) Hiring Range: generally between $21.70-$26.00, and placement in the range depends on an evaluation of experience. Available Differential: Saturday ($2.50/hour) Additional details: The Patient Account Representative team has the potential for off-site work after successful completion of training and meeting the requirements for working off-site. This requires an employee to live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps). Vancouver Clinic is hiring Patient Account Representative to join Patient Financial Services. In this call-center environment, you'll be the first point of contact for patients with billing questions, helping to resolve account issues and ensuring a positive experience. Must have excellent attendance! Consistent, dependable, and predictable attendance is crucial in helping us fulfill our mission of providing high-quality, compassionate care. We require our employees to adhere to our attendance standards, as frequent deviations make it difficult to provide care for our patients and support our coworkers. In this Role: Answer patient billing inquiries with accuracy and empathy Review accounts for refunds, financial assistance, and payment plan options Respond to collection agency correspondence and process adjustments Identify billing errors and initiate corrections. Requirements: High school diploma or equivalent. Minimum of one year of experience in health care accounting within a medical office required. Customer service experience required, preferably in a healthcare or call-center setting. Additional Information: Vancouver Clinic provides care across a wide range of medical decisions. This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment. The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic. Pay Range: $21.28 - $29.78 The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.
    $21.7-26 hourly 4d ago
  • Patient Account Rep - Customer Service & Collections

    The Vancouver Clinic 4.1company rating

    Vancouver, WA jobs

    Schedule: Tuesday through Saturday, 8:00a - 4:30p (after successful completion of Monday through Friday, 8:00a-4:30p training) Hiring Range: generally between $21.70-$26.00, and placement in the range depends on an evaluation of experience. Available Differential: Saturday ($2.50/hour) Additional details: The Patient Account Representative team has the potential for off-site work after successful completion of training and meeting the requirements for working off-site. This requires an employee to live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps). Vancouver Clinic is hiring Patient Account Representative to join Patient Financial Services. In this call-center environment, you'll be the first point of contact for patients with billing questions, helping to resolve account issues and ensuring a positive experience. Must have excellent attendance! Consistent, dependable, and predictable attendance is crucial in helping us fulfill our mission of providing high-quality, compassionate care. We require our employees to adhere to our attendance standards, as frequent deviations make it difficult to provide care for our patients and support our coworkers. In this Role: * Answer patient billing inquiries with accuracy and empathy * Review accounts for refunds, financial assistance, and payment plan options * Respond to collection agency correspondence and process adjustments * Identify billing errors and initiate corrections. Requirements: * High school diploma or equivalent. * Minimum of one year of experience in health care accounting within a medical office required. * Customer service experience required, preferably in a healthcare or call-center setting. Additional Information: Vancouver Clinic provides care across a wide range of medical decisions. This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment. The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic. Pay Range: $21.28 - $29.78 The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.
    $21.7-26 hourly Auto-Apply 4d ago
  • Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $45k-58k yearly est. 34d ago
  • Billing Rep Rev Cycle

    Baylor Scott & White Health 4.5company rating

    Remote

    The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare. ESSENTIAL FUNCTIONS OF THE ROLE Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment. Request or post charge corrections and appropriate credit and debit adjustments to patient accounts. Correct patient demographic information when new/correct information is received. Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices. Identify and bill secondary or tertiary insurances as needed. Performs other duties as assigned or requested. KEY SUCCESS FACTORS BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - Less than 1 Year of Experience
    $32k-37k yearly est. 3d ago
  • Professional Billing Denials and Follow Up Representative

    Northwestern Medicine 4.3company rating

    Warrenville, IL jobs

    is $21.24 - $27.61 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Professional Billing Denials and Follow Up Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsibilities: * Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims. * Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator. * Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution. * Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.). * Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts). * Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed. * Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. * Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals. * Identify opportunities for customer, system and process improvement and submit to management. * Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures. * Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor. * Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor. * Utilize assigned computer hardware and report hardware problems to the appropriate supervisor. * Participate in the testing for assigned software applications, including verification of field integrity. * Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary. * Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator. Additional Responsibilities: * Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts. * Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. * Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards. * Ability to perform mathematical calculations. * Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices Qualifications Required: * High School diploma * One year related work experience or college degree * Ability to perform mathematical calculations * Basic knowledge of medical terminology and billing practices * Extensive experience and knowledge of PC applications, including Microsoft Office and Excel * Learn quickly and meet continuous timelines * Exhibit behaviors consistent with principles of excellent service. Preferred: * Two or more years' college or college degree. * Call center, telephone work experience or cash collections experience. * Knowledge of Epic Systems. * Two (2) years progressive work experience in a hospital/ physician billing or SBO environment. * Detail-oriented, good organizational skills, and ability to be self-directed. * Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere. * Flexibility to perform other tasks as needed in an active work environment with changing work needs. * High-level problem solving, analytical, and investigational skills. * Excellent internal/external customer service skills. Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $21.2-27.6 hourly 60d+ ago
  • Territory Account Representative - La Crosse

    Versiti 4.3company rating

    Wisconsin jobs

    Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive. Position Summary The Account Representative position is a highly competitive field sales role. Account Representatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply. Total Rewards Package Benefits Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others. Responsibilities Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service Actively prospects and networks to continually add new, productive blood drive opportunities Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership On-site recruits as needed or required; may include evening or weekend hours Develops and maintains relationships with account points of contact, account leaders and key accounts Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service Keeps account records up to date which includes titles and contact information for key points of contact Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information. All other duties as assigned Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree preferred Associate's Degree with relevant sales and/or event management experience considered preferred Experience 1-3 years of direct business to business sales experience preferred Knowledge, Skills and Abilities Proven track record of sales success Thrives in a self-motivated and self-directed work environment Must have excellent analytical, planning, strategic and decision-making skills Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences Must possess excellent time management and organization skills, and able to manage detailed information Skilled in persuasive communication, being able to be direct in a respectful manner Excellent ability to communicate, encompassing written, verbal, and presentation skills Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively Licenses and Certifications A current valid driver's license and good driving record required #LI-Hybrid #LI-AB1 Not ready to apply? Connect with us for general consideration.
    $31k-39k yearly est. Auto-Apply 2d ago
  • Spanish Speaking Patient Collections Specialist (on-site)

    Pacific Medical 3.7company rating

    Tracy, CA jobs

    Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate non-remote opportunity to join our growing company. We are currently seeking 3 full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialists for our Tracy, CA office. These individuals will be responsible for the following: * Must be Bilingual (Spanish) * Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: High School graduate or equivalent. Bilingual (Spanish) Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360.00 to $39,520.00) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250+) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
    $35.4k-39.5k yearly Auto-Apply 12d ago
  • Territory Account Representative - Dane, Columbia and Jefferson Counties

    Versiti 4.3company rating

    Milwaukee, WI jobs

    Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive. Position Summary The Account Representative position is a highly competitive field sales role. Account Representatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply. Total Rewards Package Benefits Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others. Responsibilities Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service Actively prospects and networks to continually add new, productive blood drive opportunities Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership On-site recruits as needed or required; may include evening or weekend hours Develops and maintains relationships with account points of contact, account leaders and key accounts Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service Keeps account records up to date which includes titles and contact information for key points of contact Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information. All other duties as assigned Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree preferred Associate's Degree with relevant sales and/or event management experience considered preferred Experience 1-3 years of direct business to business sales experience preferred Knowledge, Skills and Abilities Proven track record of sales success Thrives in a self-motivated and self-directed work environment Must have excellent analytical, planning, strategic and decision-making skills Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences Must possess excellent time management and organization skills, and able to manage detailed information Skilled in persuasive communication, being able to be direct in a respectful manner Excellent ability to communicate, encompassing written, verbal, and presentation skills Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively Licenses and Certifications A current valid driver's license and good driving record required #LI-Hybrid #LI-AB1 Not ready to apply? Connect with us for general consideration.
    $31k-39k yearly est. Auto-Apply 2d ago
  • Billing Specialist- Days

    Gateway Regional Medical Center 4.3company rating

    Granite City, IL jobs

    We are Gateway Regional Medical Center Our mission is to provide compassionate, high-quality healthcare services to our community, promoting wellness and healing through innovative treatments, advanced technology, and a dedicated team of professionals. We are committed to fostering a culture of respect, integrity, and excellence, ensuring that every patient receives personalized care in a safe and nurturing environment. Together, we strive to enhance the health and well-being of those we serve and to be a trusted partner in their journey to better health. Position Overview: Billing Specialists are responsible for reviewing and contacting patients for prior balances. Review insurance eligibility to make sure claims are sent to the appropriate payer. Monitoring outstanding accounts and reviewing for accuracy and completeness. Completed timely and accurate billing for designated payer class ensuring all claims are submitted within the two day benchmark of receipt. Monitors outstanding accounts and works denied claims. Completes Refunds. Understands edits and reports. Receives and answers billing related inquiries. Completes other tasks as assigned by Manager. Specifics: -Position: Billing Specialist -Department: Business Office -Location: Gateway Regional Medical Center 2100 Madison Ave. Granite City, IL 62040 * Not Remote* -Position Status: Full-time -Work Schedule: Days, 40hrs/wk Monday-Friday Education Qualifications: Required: High School Graduate or equivalent Experience Qualifications: Minimum 2-years Medicaid billing experience in an acute care facility Working knowledge of Common Procedural Terminology (CPT) and ICD10 Codes Working knowledge of Federal, State, and Commercial billing guidelines Ability to handle multiple tasks simultaneously and concentrate in a busy environment Ability to use common computer system and business software Company Benefits: Competitive salary and performance-based incentives Comprehensive health, dental, and vision insurance plans. Click Benefits Guide to see all available Retirement savings plan with employer matching Vacation time and holiday pay Shift differentials Supportive and inclusive work environment Pay Range: The pay range for this position is $16.20 - 24.30 per hour. Disclaimer: Pay is determined based on various factors, including education level, years of experience, relevant certifications, and specific skills related to the position. The final compensation package will be discussed with Human Resources to ensure fairness and alignment with the candidate's qualifications.
    $16.2-24.3 hourly 60d+ ago
  • Professional Billing Denials and Follow Up Representative

    Northwestern Medicine 4.3company rating

    Warrenville, IL jobs

    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Professional Billing Denials and Follow Up Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsibilities: Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims. Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator. Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution. Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.). Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts). Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed. Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals. Identify opportunities for customer, system and process improvement and submit to management. Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures. Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor. Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor. Utilize assigned computer hardware and report hardware problems to the appropriate supervisor. Participate in the testing for assigned software applications, including verification of field integrity. Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary. Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator. Additional Responsibilities: Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards. Ability to perform mathematical calculations. Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices Qualifications Required: High School diploma One year related work experience or college degree Ability to perform mathematical calculations Basic knowledge of medical terminology and billing practices Extensive experience and knowledge of PC applications, including Microsoft Office and Excel Learn quickly and meet continuous timelines Exhibit behaviors consistent with principles of excellent service. Preferred: Two or more years' college or college degree. Call center, telephone work experience or cash collections experience. Knowledge of Epic Systems. Two (2) years progressive work experience in a hospital/ physician billing or SBO environment. Detail-oriented, good organizational skills, and ability to be self-directed. Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere. Flexibility to perform other tasks as needed in an active work environment with changing work needs. High-level problem solving, analytical, and investigational skills. Excellent internal/external customer service skills. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $33k-38k yearly est. 1d ago
  • Territory Account Representative - La Crosse

    Versiti 4.3company rating

    La Crosse, WI jobs

    Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive. Position Summary The Account Representative position is a highly competitive field sales role. Account Representatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply. Total Rewards Package Benefits Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others. Responsibilities Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service Actively prospects and networks to continually add new, productive blood drive opportunities Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership On-site recruits as needed or required; may include evening or weekend hours Develops and maintains relationships with account points of contact, account leaders and key accounts Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service Keeps account records up to date which includes titles and contact information for key points of contact Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information. All other duties as assigned Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree preferred Associate's Degree with relevant sales and/or event management experience considered preferred Experience 1-3 years of direct business to business sales experience preferred Knowledge, Skills and Abilities Proven track record of sales success Thrives in a self-motivated and self-directed work environment Must have excellent analytical, planning, strategic and decision-making skills Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences Must possess excellent time management and organization skills, and able to manage detailed information Skilled in persuasive communication, being able to be direct in a respectful manner Excellent ability to communicate, encompassing written, verbal, and presentation skills Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively Licenses and Certifications A current valid driver's license and good driving record required #LI-Hybrid #LI-AB1
    $31k-40k yearly est. Auto-Apply 5d ago
  • Medical Equipment Billing Rep (DME)-FT Dayton, Ohio

    Premier Health Partners 4.7company rating

    Ohio, IL jobs

    Medical Equipment Billing Rep (DME) General Summary/Responsibilities: The Senior Account Representative is responsible for billing services/charges to the appropriate payer, as well as validation of receipt of electronic and hard copy claims. The incumbent must also review assigned accounts receivable as well as monitor trends, payment, etc. He/she must maintain good customer service with patient or payer and interface with office staff and perform other duties as assigned. Dimensions: Responsible for billing assigned claims timely and appropriate follow up. Qualifications Education Minimum Level of Education Required: High School Completion/GEDHigh School completion / GED Additional requirements: * Type of degree: N/AN/A * Area of study or major: N/AN/A * Preferred educational qualifications: N/AN/A * Position specific testing requirement: N/AN/A Licensure/Certification/Registration: * N/AN/A Experience Minimum Level of Experience Required: No Prior- job- related work experience No prior job-related work experience Prior job title or occupational experience: N/AN/A Prior specific functional responsibilities: N/AN/A Preferred experience: 2-3 years experience in Medicare, Medicaid and third party billing procedures or equivalent is desired.2-3 years experience in Medicare, Medicaid and third party billing procedures or equivalent is desired. Other experience requirements: N/AN/A Knowledge/Skills * DME billing collection experience preferred. * Experience with medical terminology preferred. * Must have good organization skills and work well with others. * Computer skills preferred. * Must be able to work independently.
    $36k-42k yearly est. 60d+ ago
  • Collections Specialist (Revenue Cycle)

    Philips Healthcare 4.7company rating

    Chicago, IL jobs

    Job TitleCollections Specialist (Revenue Cycle) Job Description Your role: Working with various commercial insurnace payers to resolve claims and denials. Escalating payor issue trends for leaderships consideration along with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. Developing and maintaining updates for any problematic payers and assisting in identifying, evaluating and developing systems /procedures to address issues. Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. You're the right fit if: You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services. Your skills include: Experience with denial management, claim follow up, overturning denials and identifying payer issue trends. Knowledge of insurnace payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans. You have the ability to navigate through various systems to pull information. Experience with Soarian is a plus. You have a high school diploma or GED (required). You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. You're a strong verbal communicator with both internal/external partners How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details The pay range for this position in Malvern, PA and Chicago, IL is $23.00 to $37.00 hourly. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Malvern, PA or Chicago, IL. #ConnectedCare This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
    $23-37 hourly Auto-Apply 29d ago
  • Patient Billing Rep I

    Bestcare 4.4company rating

    Omaha, NE jobs

    Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Mon - Fri, 8-hour shifts, time is flexible between 6:00am and 6:00pm Responsible for billing, electronic claims submission, follow up and collections of patient accounts. Responsibilities: Essential Functions Electronic and Hardcopy Billing All EDI and paper claims submitted are to be billed as needed following department and payer specific guidelines. Obtains appropriate EOB's through use of health system resources. Reviews Billing Scrubber Claim Detail Screens to ensure data is appropriate for claim submission. Ensure that claim corrections identified in billing scrubber are appropriately updated and documented in Source System. Prepares secondary and tertiary billings, manually and electronically on UB04's and/or 1500's for accurate reimbursement. Submits adjusted UB04/837I and/or CMS1500/837P claims according to department and payer specific guidelines. Display Effective Communication Skills Demonstrates active listening skills. Notifies and keeps leads and supervisors informed on issues identified. Follows telephone etiquette procedures set forth by the organization and/or individual department. Professional/Courteous responses when communicating with customers, health system staff and management. Handling of Referrals Timely and accurately handling of referrals, both regular and escalated priority from management, within department guidelines. Documents clearly and appropriately all referrals (including patient inquiries) in the Source System when necessary. If necessary, follows up with patients on final results of inquiry both timely and professionally. Notifies patient of final results of account handling in question. Knowledge of System Applications Demonstrates ability to learn and maintain a working knowledge on all the current health system applications. Identify/obtain/print medical records as necessary for resolution of denial or system edits according to department guidelines. Auditing of Patient Accounts Understand accounting and business principles to accurately determine the remaining balance on a given encounter. Upon accurately auditing encounter or visit, is able to understand and update proration to make sure dollars are allocated to the appropriate benefit orders if needed. Leverages all needed resources to complete an audit of an account. Documents audit finding and actions taken in Source System when necessary. Claim Follow Up with Third Party Payers Full understanding of all necessary third party billing and follow up processes based on department specifications. Full understanding of all necessary contract related requirements. Leverages payer websites and necessary tools to streamline the follow up process. Appropriate documentation in Source System when necessary. Ability to interpret correspondence assigned for accurate handling. Special Projects and Tasks as Assigned Completion of any assigned projects timely, accurately and to the specifications of leadership. Ensure Daily/Weekly/Monthly assignments are handled accurately and timely. Maintaining Daily Workflow Manages and maintains assigned workflow queues according to department guidelines. Mail/Correspondence processed and handled following departmental guidelines. Documents both timely and appropriately in Source System using proper documentation methods. Fundamental understanding of different work item, state based and exception queues within the Patient Accounting System applications. Schedule: Mon - Fri, 8-hour shifts, time is flexible between 6:00am and 6:00pm Job Description: Job Requirements Education High school diploma, General Educational Development (GED) or equivalent required Coursework in Coding, Billing or Healthcare Management normally acquired through enrollment in a secondary education institution or online classes through the American Heath Information Management Association (AHIMA) preferred. Experience Minimum of one (1) year prior experience in healthcare third party billing and/or claims processing preferred. Prior exposure to UP04 and/or CMS1500 claim data normally acquired through work in a physician's office or other healthcare setting preferred. License/Certifications N/A Skills/Knowledge/Abilities Skill in interpreting UB04 and/or CMS1500 claim data to be able to troubleshoot claim edits and resolve payer billing requirements both timely and accurately. Ability to create and submit both original and corrected claims. Ability to audit accounts and payer explanation of benefits (EOBs) to determine appropriate action. Ability to use effective communication skills in order to handle patient inquires, attorneys, health system staff and payers on a professional level. Knowledge and understanding of accounting and business principles to enable accurate auditing of patient accounts. Ability to follow up with the 3rd party payers for claims and appeals submitted to ensure timely and accurate processing. Ability to maintain a working knowledge of multiple system applications. Physical Requirements Weight Demands Light Work - Exerting up to 20 pounds of force. Physical Activity Occasionally Performed (1%-33%): Balancing Climbing Carrying Crawling Crouching Distinguish colors Kneeling Lifting Pulling/Pushing Reaching Standing Stooping/bending Twisting Walking Frequently Performed (34%-66%): Hearing Repetitive Motions Seeing/Visual Speaking/talking Constantly Performed (67%-100%): Fingering/Touching Grasping Keyboarding/typing Sitting Job Hazards Not Related: Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Rare (1-33%): Chemical agents (Toxic, Corrosive, Flammable, Latex) Mechanical moving parts/vibrations About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission. Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
    $29k-33k yearly est. Auto-Apply 8d ago
  • Sr. Patient Billing Rep

    Bestcare 4.4company rating

    Omaha, NE jobs

    Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Mon - Fri, flexible 8-hour shifts between 6:00am to 6:00pm Works with end user billing staff to ensure that all job duties are done to the Health System's standards and satisfaction. Responsibilities: Essential Functions I Serves as a resource person for Business Office staff. Maintains awareness of Payer specific regulatory issues, Insurance updates and have a full understanding of departmental functions to assist with questions. Assist in new employee training and provide feedback for employees about policies and procedures to ensure quality and consistency. Displays effective communications skills. Keeps Supervisor informed of issues to include; backlogs in claim filing, insurance followup and electronic billing. ie: FISS / Revenue Manager Assists in identifying Employee work related issues impacting daily work flow. Effectively communicates to staff any Supervisor or departmental changes in Policy. Works with Supervisor on solutions to streamline process. Referral handling/phone calls. Appropriate timely and accurate handling of 2nd Requests, Referrals and escalated patient calls from within Business Office and outside departments within the Health System. Handles specialized Management Referrals appropriately and timely. Understands challenges of leadership roles & responsibilities. Maintains confidentiality in all aspects of position. Demonstrates a Positive Attitude on a consistent basis. Communicates Clearly. Demonstrates Active Listening. Shows support and provides feedback on decisions that will impact process. Demonstrates ability to prevent conflict by: Focusing on issue resolution to achieve overall positive outcome. Avoiding personal feelings or reaction regarding issue. Promoting Positive Team Building Displays patience and tactfulness. Time Management Displays Organizational Skills. Prioritization of daily workload. Effective use of time. Knowledge of System Applications and Training. Demonstrates ability to learn, maintain working knowledge and train staff on the following Health System Applications: * Cerner Profit / Cerner Workflow / Revenue Manager / Patient Records / Medicare Online System (FISS) / MREP / Application Xtender / PC Print / Record Link / Powerchart / Word / Excel / Outlook / all Payer Websites. Essential lead functions and responsibilities. Provides backup for staff shortages to maintain worklfow. Participation in in-service programs, continuing education programs and meetings as directed by Management to remain aware of all changes related to Healthcare. Assist Supervisor in monitoring workflow and providing data for reporting. Assist Supervisor in writing and maintaining procedure manuals directly relating to the efficient and accurate handling of assigned work. Ability to identify and trend issues to improve or streamline processes. Handles as needed, Assigned special projects. Handling Individual Team Special duties Testing (system applications) as needed. Performs daily/weekly Management directed duties. Schedule: Mon - Fri, flexible 8-hour shifts between 6:00am to 6:00pm Job Description: Job Requirements Education High school diploma, General Educational Development (GED) or equivalent required. Participate in mandatory in-service and continuing education programs as mandated by policy and procedure/external agencies as directed by supervisor. Experience Requires 2 or more years of previous experience in a business office setting, in health care Third Party Reimbursement with electronic claim submission. Full understanding of ICD-9 and CPT-4/HCPCS coding. Minimum 1 year of lead or supervisory experience preferred. Requires prior experience with patient accounting software, payer websites, and electronic billing scrubbers and maintain working knowledge of multiple system applications. Health System Applications Used: Cerner RCA/Profit, Revenue Manager, Patient Records, Medicare online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print and/or all Payers Websites. License/Certifications N/A Skills/Knowledge/Abilities Full understanding of ICD-9, ICD-10, CPT-4 and HCPCS coding. Must demonstrate excellent communication skills. Ability to Identify, trend & analyze data for resolution of issues. Health System Applications Used: Cerner Profit, Revenue Manager, Patient Records, Medicare online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print and/or all Payers Websites. Requires Analytical ability to review high level accounts to determine appropriate action. Must have effective communication skills for handling patient's, attorneys; Health System Staff and Insurance Companies at a professional level. Requires the ability to understand advanced accounting and business principals to enable accurate auditing of patient accounts, execution of claims scrubbers and ability to read EOB's. Physical Requirements Weight Demands Light Work - Exerting up to 20 pounds of force. Physical Activity Occasionally Performed (1%-33%): Balancing Climbing Carrying Crawling Crouching Distinguish colors Kneeling Lifting Pulling/Pushing Reaching Standing Stooping/bending Twisting Walking Frequently Performed (34%-66%): Hearing Repetitive Motions Seeing/Visual Speaking/talking Constantly Performed (67%-100%): Grasping Keyboarding/typing Sitting Job Hazards Not Related: Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Rare (1-33%): Chemical agents (Toxic, Corrosive, Flammable, Latex) Mechanical moving parts/vibrations About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission. Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
    $29k-33k yearly est. Auto-Apply 8d ago
  • Patient Billing/Follow up Rep

    Bestcare 4.4company rating

    Omaha, NE jobs

    Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Job Summary: Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Monday - Friday Responsible for billing, electronic claims submission, follow up and collections of patient accounts. Responsibilities: Essential Functions I Bills all non-EDI Primary Health Plans both UB04 & 1500. All claims billed on a daily basis are to be submitted same day unless there is a system problem. Submits claims according to payer specific guidelines. Ensures claims are submitted to appropriate Payer physical address. Bills all health plans electronically, both UB04's and/or 1500's in an accurate and timely manner for appropriate reimbursement. All claims are to be billed daily with exception of claims Pended, on Hold or if system problems. Exception claims must be fully documented. Submits claims according to payer specific guidelines. Prepares secondary and tertiary billings, manually and electronically on UB04's and 1500's for accurate reimbursement. Obtains appropriate EOB's through use of Resources - Intenal/External Electronic systems listed: MREP, Application Xtender, Revenue Manager, PC Print, QMS and/or Individual Payer Websites. Claims billed in the time frame set by Department Submits claims according to Payer specific guidelines. Reviews Claims and determines appropriate action to be taken by understanding and navigating the Electronic Billing Software. Daily prioritize, sort and maintain claims based on status for timely handling. ie: Rejects/Invalids/Pends/Denied and Holds. Identifies and works electronic claim edits from a payer perspective. Reviews Revenue Manager Claim Detail Screens to ensure data is appropriate for claim submission. Ensure that claim corrections identified in Rev Manager are appropriately updated in Source System. Review and Follow Up of accounts to ensure appropriate 3rd Party Payer reimbursement is received through to closure of Account. Prioritize, maintain 11 Workflow Queues on daily basis. Appropriate use of resources: Internet, Record Link, Powerchart, Telephone, All Payer Websites, FISS, Email to obtain information to resolve patient accounts. Ensure Daily/Weekly/Monthly Reports are accurately and timely. Perform audits on all accounts to verify balance is accounted for and appropriate action is taken. Processes all daily Mail and Referrals received in an accurate and timely manner. Mail/Correspondence to be processed following department guidelines of 5 days from receipt. Referrals to be processed following department guidelines of 5 days from initial receipt. Documents in the appropriate records system any action taken in handling accounts. Appropriate documentation in Source system when necessary Complete and accurate documentation must be added immediately following action taken on accounts Who, what, where, when documentation method ID used in documentation process. Uses proper abbreviations and demonstrates professionalism and consistency in documentation. Patient complaints are handled in a timely and appropriate fashion. Works patient complaints as a high priority within 24 hours. Notifies patient of final results of account handling in question in a timely manner. Documentation of all patient calls. Professional courtesy expected when working directly with patient. Consistent handling of Telephone calls. Professional/Courteous responses when communicating with customers both internal & external. Timely follow up with responses. Proper use of Telephone by following department guidelines on personal use of business telephone. Schedule: M - F, 6 am - 6 pm Job Description: Job Requirements Education High school diploma, General Educational Development (GED) or equivalent required Experience 1-2 years of experience in health care third party billing and/or claims processing preferred. License/Certifications N/A Skills/Knowledge/Abilities Requires basic navigation skills in Microsoft Office applications, including Outlook, Excel, Powerpoint and Word. Preferred knowledge of ICD-9, ICD-10, CPT-4 and HCPCS coding. Requires the ability to learn how to prepare and process third-party billing to include the ability to read an explanation of benefit and account auditing experience. Requires the ability to navigate, obtain information online. Requires the ability to learn & maintain working knowledge of the following systems: Cerner Patient Accounting, Revenue Manager, Medicare Online System (FISS), MREP, PC Print and/or all Payers Websites. Requires analytical ability to review accounts to determine appropriate action. Requires effective communication skills for handling patient's, attorneys; inter departmental staff and Insurance Companies at a professional level. Requires the ability to understand basic accounting and business principals to enable accurate auditing of patient accounts, execution of claims scrubbers and ability to read EOB's. Physical Requirements Weight Demands Light Work - Exerting up to 20 pounds of force. Physical Activity Occasionally Performed (1%-33%): Balancing Climbing Carrying Crawling Crouching Distinguish colors Kneeling Lifting Pulling/Pushing Reaching Standing Stooping/bending Twisting Walking Frequently Performed (34%-66%): Hearing Repetitive Motions Seeing/Visual Speaking/talking Constantly Performed (67%-100%): Fingering/Touching Grasping Keyboarding/typing Sitting Job Hazards Not Related: Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Rare (1-33%): Chemical agents (Toxic, Corrosive, Flammable, Latex) Mechanical moving parts/vibrations About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission. Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
    $29k-33k yearly est. Auto-Apply 8d ago
  • Scheduling/Billing Specialist Lead (Full Time)

    Unitypoint Health 4.4company rating

    Account representative job at UnityPoint Health

    * Area of Interest: Patient Services * FTE/Hours per pay period: 1.0 * Department: Rehab Administration * Shift: Monday thru Friday Days * Job ID: 175804 Assists the therapy business services leadership in the operation and organization of the outpatient therapy office areas in addition to the assigned scheduling and financial specialist duties: reception, billing, scheduling, charge and data entry, insurance pre-authorization, verification and benefit coordination, report preparation, filing, record keeping and other duties for one or more areas within Physical Medicine and Rehabilitation. Responsibilities include ensuring adequate staffing on a daily basis for all clinics, training and maintaining competencies for office staff, and working insurance denials. Adheres to detail in the performance of rehabilitation procedures, solving practical problems, resolving conflict, and implementing constructive change. Serves as a member of the rehabilitation team and supports the direction and accomplishment of hospital short and long-range goals. Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: * Expect paid time off, parental leave, 401K matching and an employee recognition program. * Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. * Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Non-Clinical Excellence Scheduling/receiving/greeting: * Receives patients and visitors and answers telephone; screens calls and callers, referring them to the appropriate person. * Creates a welcoming environment for person's served. Effectively manages positive relationships with referral sources and other members of the team. * Schedules all patient appointments. * Coordinates all modifications to patient schedules, including reschedules, cancellations, no-shows and discharges. * Manages providers calendars. Billing/insurance/counseling: * Verifies insurance eligibility and insurance coverage for assigned department(s) via phone or internet. Contacts patients prior to first appointment and counsel's patient on coverage. If unable to contact patient prior to first appointment, counsels them when they arrive for first appointment. Documents in account notes in EPIC. * Gathers billing information for patients with worker's comp insurance (employer demographics, responsible billing party, billing address) and coordinates authorization for services. * Manages and coordinates pre-authorizations for services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits. * Coordinates Price-line requests for estimate of cost for the patient. * Counsels patients on process for estimates of their payment for therapy, prompt pay, and financial assistance applications. Accurate billing/collections/denials: * Reconciles daily patient attendance and charges posted with revenue/usage reports. * Responds to patient's questions regarding their account and ensures solutions to patient billing, complaints or concerns. * Demonstrates ability to effectively manage details by accurately completing registration/referrals, maintaining medical records, and charge correction. * Collects payment as needed * Monitors and completes accounts on multiple work queues in EPIC, including referrals and denials. * Problem solves, analyzes and collaborates with patient, therapist, Central Billing Office, Revenue Cycle department, and insurance companies to identify and resolve billing and denial issues, including sending appeals and trouble- shooting and correcting claim or account errors. * Documents denials and billing issues to identify processes that need improvement in order to maximize efficiency and ensure proper payment within the department. Daily and/or weekly duties: * Creates and modifies documents using word processing and spreadsheet computer programs. * Maintains designated filing and record keeping systems. Assists with preparation of reports, graphs, and statistical information. * Orders supplies for department. * Serves as payroll timekeeper for assigned departments. * Performs other related secretarial and clerical functions as requested. Other essential duties and job responsibilities * Responsible for maintaining adequate coverage of office personnel at all outpatient clinics on a day to day basis * Trains office staff to assist in all appropriate duties * Keeps current with changes in hospital office procedures and shares with scheduling staff * Provides leadership, training and guidance to office staff * Assures accurate daily and monthly billing Qualifications * Must be at least a high school graduate * Prior administrative experience in healthcare * Writes, reads, comprehends and speaks fluent English * Multicultural sensitivity * Microsoft Office and Outlook - basic computer skills * Customer/patient focused * Critical thinking skills using independent judgment in making decisions * High organizational skills * Ability to multi-task * High attention to detail * Use of usual and customary equipment used to perform essential functions of the position
    $27k-32k yearly est. Auto-Apply 14d ago

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