Patient Account Specialist - Business Services - Hybrid (On-Site Training)

Christie Clinic•Champaign, IL

2d•$18 - $24•Hybrid

About The Position

Christie Clinic's department of Business Services is seeking a full-time Patient Account Specialist from Monday-Friday 8:00am-4:30pm or 8:00am-5:00pm at the University clinic, with no night or weekend requirements. There is a possibility of working hybrid remote in the future following the successful completion of training and competencies as determined by the department. This role is responsible for researching medical claim denials, speaking with medical insurance companies and resolving medical claims and medical insurance issues. Performs analytical duties to ensure timely processing of medical claims to maximize reimbursement. Participates in cross-training and provides coverage for co-workers during the extended absence of a co-worker.

Requirements

High school diploma or equivalent.
Medical claim denial experience

Nice To Haves

Epic knowledge
CPT/ICD-10-CM/HCPCS knowledge

Responsibilities

Verify insurance eligibility for patients by accessing on-line information available by through various carriers’ websites or via telephone for those that require that method.
Process Charge Reviews via email and through the Guarantor Workqueues daily to verify information such as CPT & Diagnosis codes, dates of service and level of service, to request copies of documentation (email only) or research insurance issues.
Post adjustments and remark codes in Epic and research insurance payments and process necessary corrections.
Review assigned Workqueues daily, which includes contacting insurance companies for status of claims, contacting patients for insurance verification, and contacting clinical departments for additional information needed to complete claims processing.
Send letters to patients for COB issues.
Initiate and follow-up of appeals, reopenings and inquires with insurances companies.
Respond to department inquiries regarding claims adjudication as needed.
Respond to correspondence received from patients or insurance carriers.
Review daily, weekly and monthly reports and complete as necessary.
Perform other job duties as assigned.