Patient Billing & Insurance Resolution Specialist

Gibson-Area-Hospital-; Gibson City (IL); On-site; USD 26,000 - 34,000; Full time

Job summary

Gibson Area Hospital & Health Services in Gibson City, IL seeks a CBO Representative to ensure accurate billing and timely follow-up on patient accounts to secure prompt payer payments.

Responsibilities include daily billing follow-up, caller inquiries, and collaboration with departments; knowledge of payers and medical terminology is required. AAHCS prefers CRCS certification and offers full-time, 40-hour weeks, Mon-Fri.

Qualifications

• General knowledge of mathematics and accounting principles.
• Previous billing experience with different insurance plans.
• Knowledge of Medical Terminology.
• Familiar with the Legal and Ethical Compliance in charging and billing.
• Previous experience in the policy and procedures of billing.
• Requires analytical skills to evaluate claims for errors in billing and payment from payers.
• Knowledge of patient's rights.
• 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.
• 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.
• 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.
• Work the denial program daily.

Skills

Billing follow-up

Customer communication

Analytical skills

Medical terminology

Accounting basics

Education

AAHAM CRCS certification preferred

Job description

Gibson Area Hospital & Health Services in Gibson City, IL seeks a CBO Representative to ensure accurate billing and timely follow-up on patient accounts to secure prompt payer payments.

Responsibilities include daily billing follow-up, caller inquiries, and collaboration with departments; knowledge of payers and medical terminology is required. AAHCS prefers CRCS certification and offers full-time, 40-hour weeks, Mon-Fri.