Billing Representative

1002 Adventist Midwest Management Services; United States; On-site; USD 25,000 - 40,000; Full time

Benefits offered by this job

Benefits from Day One

403-B Retirement Plan

Paid Time Off from Day One

Life Insurance

Disability Insurance

Career Development

Job summary

AdventHealth in La Grange, IL is seeking a full-time Billing Specialist to manage insurance coverage, determine pre-authorization needs, and prepare claims for commercial, government, and self-payers. You will research Medicare/Medicaid billing, maintain patient account documentation, and communicate with physicians for urgent updates.

The role requires a high school diploma with prior billing experience; daytime schedule 8:30am–5:00pm, with benefits from day one and opportunities for

Qualifications

• High School Grad or Equiv [Required]
• Experience with medical billing and claims is beneficial.
• Familiarity with insurance coverage and pre-authorization processes helps.

Responsibilities

• Verify insurance coverage and determine pre-authorization needs.
• Prepare and submit claims for various payers.
• Research Medicare/Medicaid billing and reimbursements.
• Maintain detailed documentation in patient accounts.
• Ensure timely transfers and notify physicians of urgent updates.
• Adhere to safety requirements and QA chart reviews.

Skills

Billing

Insurance

Claims processing

Pre-authorization

Education

High School diploma

Tools

Right CAD system

Job description

Our promise to you:

Joining UChicago Medicine AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

1325 Community Memorial Dr

City:

La Grange

State:

Illinois

Postal Code:

60525

Job Description:

Monday thru Friday 8:30am -5:00pm Confirms insurance coverage and determines the necessity for pre-authorization, obtaining authorization for scheduled procedures. Determines financial responsibility for services to be provided and notifies patients and/or practitioners of any services not authorized by insurance. Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues. Prepares and completes claims for commercial insurance companies, third-party organizations, and government or self-payers. Researches, analyzes, and reconciles Medicare/Medicaid billing and reimbursement practices. Maintains detailed documentation in the patient account record of all billing activities and claims processed as part of the daily claims reconciliation process. Consults with appropriate parties to resolve unbilled claims and reviews recent accounts for proper billing practices and reimbursement. Ensures timely acceptance of patient transfer and placement, communicating patient updates to physicians with appropriate triage of urgency. Completes and documents patient assessments, treatments, medications, and reactions per department protocols and policy. Adheres to safety requirements while transporting patients and maintains thorough and accurate information in the Right CAD system for department statistics. Completes the QA process on chart reviews for patient safety and improved outcomes. Performs other duties as assigned.

Education:

High School Grad or Equiv [Required]

Field of Study:

N/A

Work Experience:

N/A

Licenses and Certifications:

N/A

Physical Requirements:

Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$18.17 - $29.06

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Mission Statement:

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.