Experience:
1-3 years of experience
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Employment Type:
Full time
Posted:
7/7/2017
Job Category:
Health Care Provider
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Billing and Follow Up Rep II, Corporate, Bolingbrook
Presence Health | Bolingbrook, Illinois
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Job Description

Requisition ID: 36316

Location: Bolingbrook Corporate

Location Address:
1000 Remington Boulevard, Bolingbrook, IL  60440-5114 United States (US)

 

Daily Hours: 8
Standard Hours: 40
Employment Status: Full-time 
Employment Type: Regular 
Shift: Day
FLSA: N

 

SUMMARY

The Billing and Follow-Up Representative II performs accurate, timely and compliant billing and follow-up of assigned accounts.  Ensures proper submission and adjudication of all claims submitted to third party carriers and intermediaries.  They are responsible for providing a timely response to all inquiries in accordance with the policies and procedures of the Presence Health Central Business Office (CBO).

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

  1. Ensures all claims are accurately transmitted daily within the CBO targets and goals.
  2. Completes follow-up of claims on a timely basis according to the CBO productivity guidelines for account follow-up goals. Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow up timeliness.
  3. Employs measures to expedite claim adjudication by resolving issues that may delay processing of payment. Involves the patient or guarantor when necessary.
  4. Provides feedback to management regarding any issues or repetitive errors that may be encountered during claim review and submission. Documents account activity in an accurate and timely manner on all patient accounts.
  5. Reviews system generated work lists, reports and/or aged trial balances to resolve unpaid accounts, based on specific third party payer contracts and guidelines.

 

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

 

Education and/or Experience  

High school diploma or equivalent required. Some college studies preferred. Minimum six months required and two years preferred of experience in patient accounting/business office environment, specifically billing and/or collections. To successfully perform this job, excellent customer service/interpersonal skills are required along with the ability to work in a fast pace environment.

 

Computer Skills          

Proficient in Microsoft Office software.

 

Meditech and EPIC patient accounting systems experience preferred.

Business Unit: Corporate (LRHC and LPH)
Department Name: CCMC / Cash

About Presence Health

HealthPresence has been developing quality, custom-designed medical websites since 1995, longer than any other medical website development company! And unlike those other companies, we don't crank out "cookie cutter" websites using templates. Every one of our sites is designed by a human artist specifically for that client.

This company profile was created by AfterCollege and is about Presence Health. This page is not endorsed by or affiliated with Presence Health. For questions regarding company profiles, please email: care@aftercollege.com.