Billing Specialist - Revenue Cycle & Payer Follow-Up

Gibson Area Hospital & Health Services; Gibson City (IL); Presencial; USD 42.000 - 52.000; Jornada completa

Descripción de la vacante

Gibson Area Hospital & Health Services in Gibson City, IL is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payments from payers. You will handle communication with patients, insurance companies, and internal departments, review accounts for missing information, rebill denials, and maintain ongoing correspondence with payers.

The role requires diligent follow-up, accurate documentation, and clear communication to ensure efficient

Responsabilidades

• Run daily billing follow-up reports with Medicare, Medicaid, BCBS, and others.
• Make outgoing and receive incoming calls and answer inquiries about claims.
• Ensure timely follow-up with insurance payers based on established policies.
• Review patient accounts from admissions and registration; identify missing information.
• Respond to billing questions and provide clarifications to customers.
• Develop and maintain communication with insurance payers, outside agencies and internal departments.
• Refer non-routine issues to management for clarification.
• Update and prepare correspondence to customers and insurance payers as necessary.
• Communicate customer needs with the appropriate level of urgency.
• Process and scan all EOBs/Correspondence within 2 business days.
• Re-bill and reprocess all denials and rejections ensuring all avenues are explored.
• Take incoming calls from patients regarding their insurance and billing.
• Process 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.

Descripción del empleo

Gibson Area Hospital & Health Services in Gibson City, IL is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payments from payers. You will handle communication with patients, insurance companies, and internal departments, review accounts for missing information, rebill denials, and maintain ongoing correspondence with payers.

The role requires diligent follow-up, accurate documentation, and clear communication to ensure efficient