CBO Representative FT

Gibson Area Hospital & Health Services; Gibson City (IL); On-site; USD 44,000 - 56,000; Full time

Job summary

Gibson Area Hospital & Health Services is seeking a CBO Representative to manage accurate billing and follow-up of claims, ensuring prompt payer payments. You will communicate with patients, insurance companies, and internal departments to resolve billing questions and update records.

Regular full-time hours are 40 per week, Monday through Friday, 8:00 am to 4:30 pm. The role emphasizes timely EOB processing, denials resolution, and professional customer interaction.

Qualifications

• Experience in medical billing and AR follow-up.
• Familiar with payer policies (Medicare/Medicaid/Commercial).
• Ability to communicate with patients and payers.

Responsibilities

• Run required daily reports for billing follow-up of patient accounts with all payers.
• Make outgoing and receive incoming calls regarding billing status and questions.
• Ensure timely follow-up with insurance companies per policy.
• Review patient accounts and identify missing information for follow-up.
• Respond to billing questions and provide clear explanations to customers.
• Maintain communication with insurance payers and internal departments.
• Refer non-routine issues to management for clarification.
• Update and prepare correspondence to customers and payers as needed.
• Communicate customer needs with appropriate urgency.
• Process and scan EOBs/Correspondence within 2 business days.
• Re-bill/ reprocess denials and rejections to resolve issues with payers.
• Handle walk-ins and incoming patient inquiries about billing.
• Close credit balance reports monthly.

Skills

Billing & follow-up

Insurance communications

Customer service

Denials management

Accounts receivable

Job description

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

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.