Billing Follow Up Rep II

Advocate Health • Oak Brook, IL

1d • $22 - $33

About The Position

The Billing Follow Up Rep II is responsible for submitting claims and following up on open insurance claims using revenue cycle knowledge and multiple systems. The role resolves outstanding claims in accordance with compliance guidelines, obtains required documentation, updates patient and insurance information, and appeals claims to help ensure contracted reimbursement. The representative serves as a resource to teammates on complex issues and may assist with training, quality audits, productivity activities, and special projects.

The position communicates with internal teams and external customers, including third-party payors and auditors, to validate and correct information and maintain regulatory and contractual compliance. It identifies trends or issues that may delay or deny reimbursement and brings them to leadership’s attention. The role maintains payer-related key performance indicators and clear account documentation, follows organizational and departmental policies, and refers matters outside its normal scope to a supervisor for approval or final disposition.

This is a full-time position, scheduled Monday through Friday during the day for 40 hours per week. The listed pay range is $21.85–$32.80. Candidates for Advocate Aurora Health must live in one of the states listed in the posting.

Requirements

• High school diploma or GED.
• Typically, two years of related experience in a medical or billing reimbursement environment, or an equivalent combination of education and experience.
• Basic keyboarding proficiency.
• Ability to operate computers and software systems used at Advocate Aurora Health.
• Ability to operate a copy machine, facsimile machine, and telephone/voicemail systems.
• Proficiency in reading, writing, speaking, and understanding English.
• Ability to read and interpret documents such as explanations of benefits, operating instructions, and procedure manuals.
• Knowledge of medical terminology, CPT, ICD-10, HCPCS, and insurance and reimbursement practices.
• Ability to solve complex billing, coding, and contract issues.
• Ability to use Zoom, Microsoft Office, or other communication software for meetings.
• Proficient understanding of department-specific policies and procedures.
• Strong analytical, organizational, written and verbal communication, and interpersonal skills.

Responsibilities

• Submit daily claims electronically, through personal computer applications, and as hard-copy claims to the appropriate responsible parties.
• Act as a resource for teams, assist with complex issues, facilitate problem resolution, and provide training as needed.
• Participate in quality audits, productivity activities, and special projects as assigned.
• Use multiple systems to resolve outstanding claims according to compliance guidelines.
• Perform prebilling, billing, and follow-up activities on open insurance claims using revenue cycle knowledge; obtain necessary documentation from various resources.
• Communicate accurately and promptly with internal teams and external customers by phone or mail, and liaise with third-party payer representatives to validate and correct information and ensure regulatory and contractual compliance.
• Review incoming insurance correspondence and respond appropriately.
• Identify patterns and trends involving coding, compliance, contracting, claim-form edits or errors, and credentialing that could delay or deny reimbursement, and bring them to leadership’s attention.
• Keep current on payer updates and changes and single case agreements; assist management with recommendations for implementing edits or alerts.
• Enter and update patient and insurance information in the patient accounting system.
• Appeal claims to ensure the contracted amount is received from third-party payors.
• Meet key performance indicators for assigned payers within department and insurance guidelines.
• Compile information for account referrals to internal or external partners as needed.
• Maintain clear and accurate online documentation of billing and collection activity for each account according to established guidelines.
• Read and understand Advocate Aurora Health and departmental collections policies and procedures, and use the organization’s software systems proficiently.
• Refer unusual, unreasonable, or inaccurate account information, write-off requests, and issues outside the role’s normal scope to a supervisor for approval or final disposition.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible spending accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for select circumstances, incentive pay for select positions, and potential annual performance-based increases.
• Career development programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED