Advocate Aurora Health-posted 9 months ago
$20 - $30/Yr
Full-time • Entry Level
Oak Brook, IL
Hospitals

The Billing Follow Up Representative I is responsible for independently reviewing accounts and applying billing follow-up knowledge required for all insurance payors to ensure proper and maximum reimbursement. This role involves using multiple systems to resolve outstanding claims according to compliance guidelines. The representative will engage in prebilling/billing and follow-up activities on open insurance claims, utilizing revenue cycle knowledge including CPT, ICD-10, HCPCS, NDC, revenue codes, and medical terminology. The position requires timely and accurate communication with internal teams and external customers, acting as a liaison with external third-party representatives to validate and correct information. The representative will also comprehend incoming insurance correspondence, identify patterns/trends, and maintain compliance with established guidelines.

  • Independently review accounts and apply billing follow up knowledge for all insurance payors.
  • Use multiple systems to resolve outstanding claims according to compliance guidelines.
  • Engage in prebilling/billing and follow up activity on open insurance claims.
  • Timely and accurately communicate with internal teams and external customers.
  • Act as a liaison with external third party representatives to validate and correct information.
  • Comprehend incoming insurance correspondence and respond appropriately.
  • Identify and bring patterns/trends to leadership's attention regarding coding and compliance.
  • Accurately enter and/or update patient/insurance information into the patient accounting system.
  • Appeal claims to assure contracted amounts are received from third party payors.
  • Compile and maintain clear, accurate online documentation of all activity relating to billing and follow up efforts.
  • High School Diploma or General Education Degree (GED).
  • Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.
  • Basic keyboarding proficiency.
  • Ability to operate computer and software systems in use at Advocate Aurora Health.
  • Ability to read, write, speak and understand English proficiently.
  • Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
  • Preferred knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
  • Ability to communicate well with people to obtain basic information.
  • 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 and other financial wellness programs.
  • Educational Assistance Program.
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