Patient Account Representative

Healthcare Support Staffing; Berwyn (IL); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Competitive salary, negotiable based on experience

Medical, Dental, and Vision benefits

Fun and positive work environment

8:00 AM - 5:00 PM schedule

Job summary

A healthcare staffing solutions provider is seeking a qualified candidate for a billing and collections role requiring 1-2 years of experience in hospital billing. Responsibilities include follow-up on claims, managing accounts, and documenting activities. Candidates should have experience in AR follow-up and knowledge of Illinois Medicaid. This opportunity offers a competitive salary and benefits in a positive work environment, with regular hours from 8 AM to 5 PM, Monday to Friday.

Qualifications

• 1-2 years of Hospital Billing/Collections Experience (must have UB04/92).
• Able to handle 70-75 accounts per day.
• Must have knowledge of Medicaid – IL specific.
• Must have strong AR follow up experience
• Follow Up service is designed to increase Revenue Collection for Hospitals and Physician offices. The process begins after the Doctor’s biller creates and sends Health Insurance Claims to various Insurance companies. Depending on the transmission type and length of time since submission we begin our follow-up.

Responsibilities

• Responsible for all aspects of follow up and collections, including making telephone calls.
• Accurately and thoroughly documents the pertinent collection activity performed.
• Review the account information and determine the next appropriate work activity.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
• Participate in meetings and in-services to develop job knowledge and participate in performance evaluations with their Supervisor.
• Respond timely to emails and telephone messages as appropriate.
• Communicate issues to management, including payer, system or escalated account issues.

Skills

Hospital Billing/Collections Experience

Knowledge of Medicaid – IL Specific

Strong AR follow up experience

Medicaid IL

Job description

Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 30 years. Our value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance. Our purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve.

Job Description

Essential Functions:

• Responsible for all aspects of follow up and collections, including making telephone calls and accessing payer websites.
• Identify issues or trending and provide suggestions for resolution.
• Accurately and thoroughly documents the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed.
• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
• Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor.
• Respond timely to emails and telephone messages as appropriate.
• Communicate issues to management, including payer, system or escalated account issues.

Qualifications

Minimum Education/ Licensures/Qualifications:

• 1-2 years of Hospital Billing/Collections Experience (must have UB04/92)
• Able to handle 70-75 accounts per day
• Must have knowledge of Medicaid – IL Specific or IL HMO
• Must have strong AR follow up experience
• Follow Up service is designed to increase Revenue Collection for Hospitals and Physician offices. The process begins after the Doctor’s biller creates and sends Health Insurance Claims (Electronic/ Paper claims or Manual HCFA forms) to various Insurance companies. Depending on the transmission type and length of time since submission we begin our follow-up:

Additional Information

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment
• Monday-Friday must be available from 8:00AM to 5:00PM hour shift.