Patient Financial Services - Billing Specialist - FT

Gibson Area Hospital & Health Services; Gibson City (IL); On-site; USD 42,000 - 52,000; Full time

Job summary

Gibson Area Hospital & Health Services in Gibson City, IL is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payments from payers. You will handle communication with patients, insurance companies, and internal departments, review accounts for missing information, rebill denials, and maintain ongoing correspondence with payers.

The role requires diligent follow-up, accurate documentation, and clear communication to ensure efficient

Responsibilities

• Run daily billing follow-up reports with Medicare, Medicaid, BCBS, and others.
• Make outgoing and receive incoming calls and answer inquiries about claims.
• Ensure timely follow-up with insurance payers based on established policies.
• Review patient accounts from admissions and registration; identify missing information.
• Respond to billing questions and provide clarifications to customers.
• Develop and maintain communication with insurance payers, outside agencies and internal departments.
• Refer non-routine issues to management for clarification.
• Update and prepare correspondence to customers and insurance payers as necessary.
• Communicate customer needs with the appropriate level of urgency.
• Process and scan all EOBs/Correspondence within 2 business days.
• Re-bill and reprocess all denials and rejections ensuring all avenues are explored.
• Take incoming calls from patients regarding their insurance and billing.
• Process walk-ins.
• Resolution of Credit Balance reports monthly.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.

Job description

HOURS & SHIFT REQUIREMENTS: Full time, 8:00 – 4:30 M-F

The CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT

To provide personalized, professional healthcare services to the residents of the Communities we serve.

Principle Duties And 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. Identify any missing information and determine what avenue to take to insure timely follow-up.
• 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.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.