Financial Assessor, Patient Accounting

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Address claim edits and report candidates for billing.

• Submit compliant, accurate, and complete claims within the designated filing timelines.

• Achieve productivity, quality, error-ratio, target, and reporting benchmarks.

• Follow up on and recover receivables from third-party payers.

• Conduct denial and appeal follow-up, including root-cause analysis and efforts to overturn denials.

• Communicate with third-party payers regarding outstanding accounts receivable through statements, letters, emails, faxes, and online portals.

• Support third-party accounts receivable operations across managed care, commercial, Medicare, Medicaid, replacement plans, workers’ compensation, corporate, research, and specialty accounts.

• Review daily work lists to finalize accounts ready for processing.

• Apply government, commercial, and regulatory collection protocols.

• Recommend contractual or administrative write-offs with appropriate justification and documentation.

• Safeguard patient health information and adhere to HIPAA regulations.

• Contribute to departmental accounts-receivable objectives.

• Identify opportunities for customer, system, and process improvements and present them to management.

• Utilize hospital mainframe, external software applications, assigned hardware, and related menus/pathways; report any technical issues.

• Engage in software application testing and verify field integrity.

• Assist with special projects and additional assigned duties.

• Attend approved training sessions and seminars.

• Provide customer service and expertise to patients, authorized guarantors, and both internal and external contacts through verbal and written communication.

• Demonstrate proficient use of systems and processes.

• Collaborate with physician and facility billing and follow-up, including Medicare and Medicaid insurance regulations.

⛳️ Requirements

• High School diploma.

• One year of relevant work experience or a college degree.

• Ability to perform mathematical calculations.

• Basic understanding of medical terminology and billing practices.

• Extensive experience and knowledge of PC applications, including Microsoft Office and Excel.

• Ability to quickly learn and meet ongoing timelines.

• Behaviors aligned with principles of outstanding service.

• Two or more years of college or a college degree (preferred).

• Experience in call centers, telephone work, or cash collections (preferred).

• Familiarity with Epic Systems (preferred).

• Two years of progressive work experience in a hospital/physician billing or SBO environment (preferred).

• Detail-oriented with strong organizational skills and the ability to be self-directed (preferred).

• Strong time management abilities and capacity to handle multiple priorities and a heavy workload in a high-stress setting (preferred).

• Flexibility to undertake additional tasks as required in a dynamic work environment with changing demands (preferred).

• High-level problem-solving, analytical, and investigational skills (preferred).

• Excellent customer service skills for internal and external interactions (preferred).

• Must comply with HIPAA privacy standards and relevant regulatory, accreditation, Joint Commission, and organizational policies.

• Completion of authorization and disclosure form for the mandatory background check if the position is offered.

🏝️ Benefits

• Tuition reimbursement.

• Loan forgiveness.

• 401(k) matching.

• Lifecycle benefits.

• Competitive benefits supporting physical, emotional, and financial health.

• Protection for unforeseen life events.

• Background check and employment support in compliance with applicable laws.