Healthcare AR Specialist - Billing & Collections

Gibson Area Hospital; Gibson City (IL); On-site; USD 28,000 - 37,000; Full time

Job summary

The Gibson Area Hospital & Health Services is seeking a CBO Representative in Gibson City, IL to ensure accurate and timely billing and follow-up of all claims with Medicare, Medicaid, Blue Cross, and other payers.

You will communicate with patients, insurance companies, and internal teams to resolve questions, re-bill denials, and maintain clear documentation while working full time, Monday–Friday, 8:00 am–4:30 pm.

Qualifications

• General knowledge of mathematics and accounting principles.
• Experience with billing forms for different insurance plans.
• Knowledge of Medical Terminology.
• Familiar with compliance in charging and billing.
• Experience in billing policies and procedures.
• Analytical skills to evaluate claims for errors.
• Knowledge of patient rights.
• Good communication to assist patients with billing questions.
• AAHAM CRCS certification preferred.

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.
• Ensure 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.
• Adequately respond to billing questions and provide clarification to customers.
• Develops and maintains appropriate communication with insurance payers, outside agencies and internal departments.
• Refer all non-routine issues to management for clarification.
• Update and prepare 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 within 2 business days.
• Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve issues with Insurance Payers.
• Take incoming calls from patients regarding their insurance and billing.
• Process all walk-ins
• Resolution of Credit Balance reports Monthly.
• Work with fellow staff in a professional, courteous and respectful manner.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.

Skills

Billing knowledge

Medical terminology

Analytical skills

Communication skills

Patient rights knowledge

Education

Accounting principles education

Billing forms experience

AAHAM CRCS certification

Job description

The Gibson Area Hospital & Health Services is seeking a CBO Representative in Gibson City, IL to ensure accurate and timely billing and follow-up of all claims with Medicare, Medicaid, Blue Cross, and other payers.

You will communicate with patients, insurance companies, and internal teams to resolve questions, re-bill denials, and maintain clear documentation while working full time, Monday–Friday, 8:00 am–4:30 pm.