Patient Financial Services Follow Up

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

📋 Description

• Confirm that claims are received by payers and follow up to secure payment through phone, portals, or websites.

• Analyze denial codes and explanations of benefits to ascertain appropriate follow-up actions.

• Reach out to payers, resubmit claims, and prepare disputes, appeals, and reconsiderations as necessary.

• Compose appeals and fill out reconsideration forms according to payer specifications.

• Acquire and dispatch medical records to demonstrate medical necessity.

• Examine both paper and electronic billing forms for precision.

• Communicate with patients or payers to gather information required to resolve account balances.

• Recognize and escalate patterns in payer rejections and denials.

• Utilize patient accounting systems, biller files, Revenue Cycle resources, and payer databases to address account issues.

• Investigate and escalate urgent No Authorization denials and significant accounts.

• Handle billing functions as needed.

• Collaborate with management and external departments regarding unresolved accounts and process redesign initiatives.

• Work with Patient Financial staff, including training and sharing documentation.

• Complete special projects and achieve assigned productivity targets.

• Partner with Revenue Cycle Training to facilitate shadowing sessions for new partner orientations.

• Report any equipment malfunctions and supply requirements.

⛳️ Requirements

• High school diploma or equivalent qualification.

• Proficiency in Microsoft Excel is required.

• Prior healthcare billing experience is preferred.

• 2–3 years of Revenue Cycle experience within the healthcare sector is mandatory.

• Basic knowledge of navigating multiple software applications concurrently.

• Epic billing or HFMA CRC certification, or an equivalent certification.

• Internal candidates must have achieved a Level 4 or higher on the latest annual evaluation.

🏝️ Benefits

• Medical, Dental, and Vision coverage.

• Life and Disability Insurance.

• FSA/HSA Options available.

• Generous, accruing paid time off.

• Paid Parental and caregiver leave.

• Opportunities for career advancement and education.

• Tuition and certification reimbursement.

• Well-being Programs.

• Employee Discounts.

• On-Demand Pay options.

• Financial Education resources.

• Annual recognition and awards events.

• Partner appreciation days.

• Discounts on family entertainment and attractions.

• Opportunities for community service and improvement.