Billing Follow Up Rep I

Advocate Aurora Health • Allenton, WI

256d • $20 - $30 • Remote

About The Position

The Billing Follow Up Representative I is responsible for the accurate and timely submission of insurance claims and the collection of designated portions of accounts receivable. This role involves contacting various parties to ensure efficient collection follow-up, including patients, insurance companies, and third-party administrators. The representative will also reconcile patient accounts, validate contractual allowances, and identify when claim resubmission is necessary. The position requires proficiency in understanding payer requirements and federal/state regulations to maximize reimbursement and ensure accurate claim submissions. The representative will maintain clear documentation of all billing and collection activities and support efficient collection follow-up using multiple systems.

Requirements

• High School Diploma or GED.
• 2-3 years of healthcare billing or collection experience, preferably in a hospital setting.
• Familiarity with medical terminology.
• Excellent working knowledge of electronic billing systems.
• Working knowledge of the healthcare revenue cycle process.
• Basic understanding of CPT4, HCPCS, modifiers, ICD-9CM.
• Clear understanding of HIPAA regulations.

Responsibilities

• Accurate and timely submission of insurance claims.
• Collection of designated portions of accounts receivable.
• Contacting appropriate parties for efficient collection follow-up.
• Reconciliation of patient accounts and validation of contractual allowances.
• Reviewing coordination of benefits related to accounts.
• Identifying when claim resubmission is needed.
• Communicating billing, collection, and financial assistance processes to patients.
• Submitting claims to payers correctly and in a timely manner.
• Compiling information for referral of accounts for charity or liens.
• Monitoring and following up on deficient/unsent claims.
• Demonstrating proficiency in payer requirements and regulations.
• Compiling and maintaining documentation of billing and collection efforts.
• Correcting claim rejections and resubmitting rejected claims.
• Determining patients' financial status and establishing payment terms.
• Identifying allowancing issues and making referrals for adjustments.
• Recommending uncollectible accounts for placement with collection agencies.
• Utilizing patient accounting claims and worklist systems proficiently.
• Keeping abreast of system requirement changes.

Benefits

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Family benefits such as adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match.
• Educational Assistance Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED