Financial Services Rep 2-28542

Rush University Medical Center; Chicago (IL); Sur place; USD 26 000 - 41 000; Plein temps

Résumé du poste

Rush University Medical Center in Chicago seeks a Financial Services Representative 2 to manage open receivables, secure reimbursement, and safeguard hospital assets while reducing financial risk. The role requires handling re-bills, adjustments, refunds, and audits in a fast-paced setting.

A two-year healthcare or hospital billing background, strong Excel skills, and the ability to work independently are essential for success. Day shift, full-time at Rush.

Qualifications

• High School Diploma or GED required.
• Two years of healthcare or hospital billing experience.
• Familiar with government payer requirements.
• Strong Excel skills and ability to produce reports.
• Able to work independently and manage time effectively.

Responsabilités

• Actively manage open receivables and pursue reimbursement.
• Follow up on claims with payers for reimbursement.
• Ensure charges are correctly credited/debited with departments.
• Develop and maintain electronic documents for projects.
• Monitor trend issues and report weekly.
• Collaborate with departments to ensure accuracy of billing data.
• Communicate with patients and Rush departments to improve outcomes.
• Stay updated on Illinois HFS requirements to ensure compliance.

Connaissances

Healthcare billing

Microsoft Office

Analytical skills

Communication skills

Independence

Formation

High School Diploma or GED

Outils

Nebo's eCare

CMS

Epic

Description du poste

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: HB Govt Billing-Collections

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $18.87 - $29.73 per hour

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary

General purpose of the position is to manage the open receivable including, securing reimbursement, guarding the Medical Centers assets, minimizing financial risk, working on behalf of our patient's financial liability. The Financial Services Representative 2 is also responsible for responding to internal audits. The ultimate goal of this position is to decrease receivables and increase quality and productivity. This role includes performing re-bills, Debit & Credits, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits as well as notifying denial management of audits. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Required Job Qualifications

• High School Diploma or GED.
• Two years of experience in health care or hospital billing with an understanding of coverage eligibility requirements for governmental payers.
• Previous experience in a hospital setting, familiarity with medical terminology and patient fiscal matters.
• Familiar with Nebo's eCare billing editors such as Classic and CMS. Strong familiarity with medical terminology and patient financial matters.
• Specific knowledge of Microsoft Office in order to design, implements, tracks, and maintain moderately complex statistical information.
• Strong analytical skills including statistical, mathematical, and organization abilities necessary for accurate reporting to payers and management.
• Strong interpersonal skills for communication of finance-related issues to management and ancillary departments.
• Sound understanding of billing and collection processes and eligibility requirements of private and governmental payers.
• Able to work independently.
• Good time management skills and possess the ability to multi-task.
• Good oral and written communication skills in order to work effectively with a diverse number of internal and external contacts.

Preferred Job Qualifications

• Prior experience using Epic for hospital billing.

Responsibilities

• Actively manage account balances to ensure that we are compliant with Federal and State regulatory requirements and evaluate each account to ensure that each account balance is collected in accordance to contract allowable payment schedule.
• Follow up on claims with the appropriate payer for reimbursement.
• Work directly with various departments to insure the charges are properly credited and / or debited.
• Develop, manage, and maintain various electronic documents used to manage these projects.
• Develop and report status of the trend issues weekly.
• Eagerly accept challenging assignments. Collaborate with other departments, physician offices, and other clinical areas to ensure charges and diagnosis are consistent and that the financial information being used is correct during the billing process.
• Communicate constructively with patients and other Rush departments to achieve mutually positive business and service outcomes.
• Monitor Illinois Healthcare and Family Services (HFS), website for any updates to ensure that our accounts are compliant with Federal and State requirements.
• Work within your team to insure the team has all related job work flows and processes.
• Monitor system enhancements - Develop and communicate constructive feedback/issue solutions for problems as discovered.
• Collaborate with other departments, physician offices, and other clinical areas to ensure charges and diagnosis are consistent and that the financial information being used is correct during the billing process.
• Develop, implement, & monitor system enhancements.
• Develop and communicate constructive feedback/issue solutions for problems as discovered.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.