The Third-Party Billing and Follow Up Representative facilitates billing and collection processes for outstanding accounts receivable. The role analyzes claims for compliant and accurate coding and charging, reviews records to confirm demographic and billing information is current, and recommends improvements to billing and collection practices to reduce reimbursement timeframes and improve payment accuracy. It also processes legal requests for information and confirms appropriate authorizations are on file. The representative communicates with patients, internal and external contacts, third-party administrators, attorneys, vendors, and insurance payers about billing, collections, and claim resolution. The position handles correspondence and phone inquiries, documents claims-related conversations and actions, follows up on accounts, files timely claim reconsiderations or reviews with supporting documentation, updates account systems, and performs balance transfers. The role monitors queues and productivity, prepares weekly productivity reports, and works with departments and team members to resolve claims and workflow issues. The position maintains compliance with applicable billing and collection requirements, including CMS and HIPAA, uses hospital software and systems according to policy, and completes annual education requirements. It may also perform special projects and other assigned duties. The position is based at 600 Holiday Plaza Dr, Matteson, Illinois, and is scheduled from 8:00 a.m. to 4:00 p.m. It reports to the System Supervisor of Third-Party Billing and Collections.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED