AR Specialist FT

Gibson Area Hospital & Health Services; Gibson City (IL); Vor Ort; USD 40.000 - 55.000; Vollzeit

Zusammenfassung

Gibson Area Hospital & Health Services is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payment from payers. The role involves communication with patients, insurers, and internal departments to resolve billing questions and maintain up-to-date patient accounts.

The position emphasizes timely review of account information, efficient handling of EOBs, denials management, and collaboration with the Revenue Cycle team to support the

Qualifikationen

• Experience with Medicare, Medicaid, and private payer billings.
• Ability to handle denials and reprocess claims.
• Strong communication with patients, insurers, and internal teams.
• Proficient in reviewing patient accounts for missing information.

Aufgaben

• Run daily billing follow-up reports for patient accounts.
• Make and receive calls regarding claims status with payers and patients.
• Ensure timely follow-up with insurers per policies.
• Update correspondence to customers and payers.
• Process EOBs and scan documents within 2 business days.
• Address and refer non-routine issues to management.
• Handle walk-ins and general inquiries.

Kenntnisse

Billing follow-up

Insurance payer communications

Denials resolution

Customer service

Phone etiquette

Jobbeschreibung

HOURS & SHIFT REQUIREMENTS: Regular full time. 40 hours weekly. Monday thru Friday 8:00am - 4:30pm.

General Summary

The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT

To provide personalized, professional healthcare services to the residents of the Communities we serve.

Principle Duties And Responsibilities

• Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties.
• Make Outgoing & Receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims.
• Ensures appropriate, accurate/timely follow-up to all insurance companies based on established policies and procedures.
• Review patient account information received from admissions and out patient registration. Identify any missing information and determine what avenue to take to insure timely follow-up.
• Adequately responds to billing questions and provide clarification to customers.
• Develops and maintains appropriate communication with insurance payers, outside agencies and internal departments.
• Appropriately refers all non-routine issues to management for clarification.
• Accountable for updating and preparing correspondence to customers and insurance payers as necessary.
• Effectively communicate to customers needs with the appropriate level of urgency.
• Process and scan all EOB's/Correspondence received within 2 business days.
• Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.
• Take incoming calls from patients regarding their insurance and billing.
• Process all walk-ins
• Resolution of Credit Balance reports Monthly.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.