Third Party Billing And Follow Up Representative - Revenue Cycle - Hiring Fair - November 19, 2026

Cook County Government•Chicago, IL

About The Position

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, confirms that demographic and billing information is up to date, and recommends improvements to billing and collection practices to reduce reimbursement timeframes and improve payment accuracy. The representative also processes legal requests for information and verifies that appropriate authorization is on file. This position is in the Revenue Cycle department at 600 Holiday Plaza Dr, Matteson, Illinois. The posted schedule is 8:00 a.m. to 4:00 p.m. The role reports to the System Supervisor of Third-Party Billing and Collections and is covered by the collective bargaining agreement between Cook County and AFSCME Local 1178. The position is being filled through a hiring fair, with onsite interviews scheduled for November 19, 2026, from 10:00 a.m. to 12:00 p.m. at 1950 West Polk Street, 5th Floor, Chicago, Illinois. Candidates must attend the hiring fair to be considered. Cook County will first consider eligible internal applicants. The work takes place in a healthcare environment and requires adherence to hospital and department safety requirements, including personal protective equipment, hand hygiene, and applicable engineering and work-practice controls. Employment offers are contingent on satisfactory references, healthcare and criminal background checks, applicable licensure or certifications, and successful completion of a physical and pre-employment drug screen.

Requirements

High school diploma or GED; documentation or proof is required.
At least one year of experience in healthcare billing.
Knowledge of billing hierarchy levels and order of facilitation.
Knowledge of compliance and regulations for billing and collection practices set by local and federal government and other governing agencies.
Knowledge of hospital billing and collection processes.
Knowledge of Microsoft Office Suite.
Knowledge of a hospital revenue cycle system.
Excellent verbal and written communication skills for interacting with staff at all levels and a culturally and age-diverse patient population.
Strong interpersonal and customer service skills.
Good phone and email etiquette and prompt response times by phone and electronically.
Good computer and typing skills to support thorough documentation of phone calls.
Analytical, problem-solving, critical-thinking, and conflict-resolution skills.
Attention to detail, accuracy, and precision.
Ability to prioritize, plan, and organize projects and tasks.
Ability to multitask and meet deadlines in a fast-paced and stressful environment.
Ability to follow department policies and standards and use best practices.
Ability to maintain professional demeanor and composure when challenged.
Ability to work autonomously and as a team member in a multidisciplinary team.
Ability to perform accurate and reliable mathematical calculations.
Ability to see and hear clearly, including with correction.
Meet all required qualifications at the time of application filing.
Attend the onsite hiring fair and interview to be considered for the position.

Nice To Haves

At least one year of experience in hospital third-party billing and account follow-up within a multi-hospital system.
Bilingual English/Spanish or English/Polish.

Responsibilities

Facilitate billing and collection processes for outstanding accounts receivable.
Communicate with internal and external contacts about primary, secondary, and tertiary billing, collections, and claim resolution, including Medicare and other government and non-government accounts.
Monitor daily customer-service, quality, and productivity queues, maintain departmental standards, and alert management to patterns of high call volume.
Handle incoming and outgoing billing correspondence and phone inquiries from patients, third-party administrators, attorneys, vendors, and insurance payers.
Document conversations and actions related to claims inquiries, reviews, and reconsiderations to support claims and streamline team follow-up.
Analyze claims for compliant and accurate coding and charging, and confirm demographic and billing information is current.
Resolve claim and billing concerns and escalate issues to management when appropriate.
Develop relationships with patients, third-party administrators, attorneys, vendors, and insurance payers.
Follow up on accounts to work toward a zero balance.
Submit timely claim reconsiderations or reviews with supporting documentation as needed, and coordinate with departments to obtain information needed to resolve claims.
Use software and hospital systems according to hospital policies and procedures.
Update account systems, including financial class, eligibility status, payer contact information, and rebills.
Communicate workflow-relevant changes and updates, such as billing addresses or contact information, to team members.
Perform balance transfers.
Prepare weekly productivity reports for management and recommend improvements to billing and collection practices to reduce reimbursement timeframes and improve payment accuracy.
Process legal requests for information and ensure proper authorization is on file.
Comply with billing and collection practices and regulations established by local and federal governments and other governing agencies, including CMS, AHIMMA, and HIPAA.
Complete annual education requirements.
Perform special projects and other duties as assigned.
Adhere to hospital and department safety requirements, including PPE, hand washing and sanitizing, and applicable engineering and work-practice controls.