Medicare Billing Specialist I

Rush University Medical Center; Chicago (IL); On-site; USD 24,000 - 38,000; Full time

Job summary

The Financial Services Representative 1 at Rush University Medical Center manages assigned Medicare receivable accounts, pursuing reimbursement and performing re-bills, adjustments, refunds, and claim corrections.

It also handles internal audits and aims to decrease receivables while improving accuracy and productivity across the billing process. Located in Chicago, IL, this full-time role offers Shift 1 (8:00 AM–4:30 PM) with benefits and competitive pay.

Qualifications

• High School diploma or GED equivalent.
• 1 year of experience.
• Two years of experience in health care or hospital billing with an understanding of coverage eligibility requirements for Medicare.
• Able to enter and retrieve data within FSS0/ASF.
• 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 are required for communication of finance-related issues to management and ancillary departments.
• Sound understanding of billing 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.
• Previous experience in a hospital setting, familiarity with medical terminology and patient fiscal matters.

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 processed correctly.
• Follow up of claims to 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 project 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 the CMS, National Governmental Services (NGS), 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 responsibilities.
• Develop, implement, & monitor system enhancements.
• Develop and communicate constructive feedback / issue solutions for problems as discovered.

Skills

Data entry

FSS0/ASF

Nebo eCare

Microsoft Office

Medical terminology

Payer reporting

Billing knowledge

Interpersonal skills

Communication

Independent work

Time management

Multitasking

Hospital billing

Education

High School diploma or GED equivalent

Tools

Epic for Hospital Billing

Job description

The Financial Services Representative 1 at Rush University Medical Center manages assigned Medicare receivable accounts, pursuing reimbursement and performing re-bills, adjustments, refunds, and claim corrections.

It also handles internal audits and aims to decrease receivables while improving accuracy and productivity across the billing process. Located in Chicago, IL, this full-time role offers Shift 1 (8:00 AM–4:30 PM) with benefits and competitive pay.