Billing Follow Up Representative I
About The Position
Advocate Aurora Health candidates must live in these states: AK, AL, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. This role is responsible for completing claims and documents billing activity according to governmental regulations, agency policies and department guidelines. It involves reviewing trends specific to denials, root cause, and A/R impact, as well as reviewing insurance credit balances to determine root cause and take necessary action to resolve the account. The representative will contact payers, make inquiries on account status, process and research electronic remittances and bank deposits, and work with Specialty Payers and other facilities to ensure compliance and payment. Additionally, the role includes transferring charges between Patient and Facility accounts as required, escalating problem accounts as needed, and leading the appeal process. The representative will also receive, review, and take actions for all communications within the business office.
Requirements
- High school diploma or GED required.
- One-year experience in related financial services or healthcare business office required.
- Requires the ability to communicate effectively in verbal and written formats.
Nice To Haves
- College (bachelor's or associate) degree preferred.
- Proficiency in Word, Excel and Outlook preferred.
- Prior healthcare computer system and specifically Epic billing experience preferred.
Responsibilities
- Completes claims and documents billing activity according to governmental regulations, agency policies and department guidelines.
- Reviews trends specific to denials, root cause, and A/R impact.
- Reviews insurance credit balances to determine root cause, takes necessary action to resolve account.
- Contacts payer and makes inquiries on account status.
- Processes and researches electronic remittances and bank deposits.
- Works with Specialty Payers and other facilities to ensure compliance and payment.
- Transfers charges between Patient and Facility accounts as required.
- Escalates problem accounts as needed and leads appeal process.
- Receives, review and takes actions for all communications within the business office.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- 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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
