PFS Representative, Full time - Days

University of Chicago • Burr Ridge, IL

121d • Remote

About The Position

Be part of a world-class academic healthcare system, Ingalls Memorial Hospital, as a Patient Financial Services Representative. In this role as a Patient Financial Services Representative you will be responsible for the account receivables management. This position requires detailed analysis and critical thinking. Ingalls Memorial Hospital serves Chicago's south suburbs. We strive to be the best health care provider supply chain. Our goal is to be one of the best in any industry by ensuring the right products, services and equipment are always delivered to the right place at the right time. We are also committed to delivering the best quality with the lowest total cost. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing and collection of accounts. This individual must follow departmental productivity and quality control measures that support the organization's operational goals. This position is responsible for collections and final resolution of insurance claims, maintains records and reports in accordance with department procedures, meets productivity and quality standards, governing the collection process as defined by the hospital procedures. This position understands and maintains all State and Federal regulation related to billing and collections.

Requirements

• High school graduate or equivalent
• Ability to interpret contracts, state and federal programs to determine proper reimbursement
• State and Federal regulations regarding HIPPA, billing and collection
• Knowledge of UB04, 837I, 837P, 835, ICD10, and rev codes
• Knowledge of Microsoft Excel, Word and Outlook
• Typing 30 words per minute
• Ten key calculators
• Demonstrates good verbal, written, and comprehension skills
• Ability to follow and complete detailed directions
• Supports an environment of teamwork
• Ability to work independently as well as part of a team

Nice To Haves

• Associate's degree in business, healthcare, or related field required or a combination of relevant education and experience
• Two year hospital business office experience preferred
• Medical Terminology
• Medicare/Medicaid, and Managed Care claims processing in a hospital environment
• Experience with Passport/NEBO/FSS0

Responsibilities

• Participates in process improvement and cross-training activities on an ongoing basis
• Keeps management abreast of any outstanding problems, and updated on the timeliness of posting
• Documents all actions regarding account resolution in a comprehensive and concise manner and in accordance to department requirements
• Seeks assistance for additional options when account resolution has come to a standstill
• Maintains and complies with regulatory requirements
• Offers ideas in writing to streamline improve procedures
• Maintains and monitors integrity of the claim development and submission process
• Acts as a liaison between patients, providers, and payers for all post-care matters related to account resolution
• Must be able to solve problems within the guidelines of established policies and procedures
• Maintains third-party payer relationships, including responding to inquiries, complaints, and other correspondence

Benefits

• Comprehensive health insurance
• Retirement plans
• Paid time off
• Professional development opportunities
• Employee wellness programs

What This Job Offers

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