Patient Financial Services Follow Up

Job not on LinkedIn

🕒 July 28

🇺🇸 United States – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Mercyhealth Wisconsin and Illinois

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1889

🛡️ Insurance

💼 Consulting

🏨 Hospitality

Insurance • Consulting • Hospitality

Mercyhealth Wisconsin and Illinois is a regional integrated health system providing hospitals, outpatient clinics, urgent care, specialty care (cardiology, oncology, orthopedics, neurosurgery, etc. ), pharmacies, home health and hospice services across northern Illinois and southern Wisconsin. It operates MercyCare Health Plans (commercial health insurance), offers graduate medical education and fellowship/residency programs, runs a foundation and community health initiatives, and provides patient-facing resources such as MyChart, online scheduling, and wellness programs.

📋 Description

• Verify claims are received by payers and follow up to obtain payment via phone, portals, or websites • Review claim adjustment reason codes and explanations of benefits to identify denial reasons and determine follow-up actions • Contact payers, resubmit claims, and handle disputes, appeals, and reconsiderations as required • Draft appeals and complete reconsideration forms according to payer requirements • Obtain and submit medical records to substantiate medical necessity during appeals • Review paper and electronic billing forms for accuracy • Contact patients or payers to obtain information needed to resolve account balances • Identify payer rejection and denial trends and escalate them to leads or supervisors • Use computer systems and payer databases to locate claim information and resolve account balances • Maintain compliance with patient financial services policies and procedures • Review accounts based on patient or departmental inquiries • Follow up with Mercyhealth departments on unresolved questions and at-risk claims • Share information and provide training to Patient Financial Services staff • Research high-level No Authorization denials and appeal or escalate them to Precertification • Perform billing functions as needed • Escalate high-dollar accounts for second-level appeals • Report equipment malfunctions and supply needs • Research patient accounting, revenue cycle, biller, and payer resources for missing or incorrect information • Apply creative problem-solving to resolve claim adjudication errors • Coordinate with management and external departments on unresolved accounts and process redesign initiatives • Complete special projects as assigned • Maintain awareness of insurance company updates and Federal and State guidelines • Meet productivity goals assigned by the Revenue Cycle Director

🎯 Requirements

• High school diploma or equivalent • Microsoft Excel required • Healthcare billing experience preferred • Basic understanding of working in multiple software applications at the same time • Basic business writing skills • Ability to work with others to impact change • Ability to use computer systems and technology to locate claims information • Awareness of insurance company updates, including Federal and State guidelines

🏖️ Benefits

• Medical, Dental, Vision • Life & Disability Insurance • FSA/HSA Options • Generous, accruing paid time off • Paid Parental and caregiver leave • Career advancement and educational opportunities • Tuition and certification reimbursement • Certification Reimbursement • Well-being Programs • Employee Discounts • On-Demand Pay • Financial Education • Annual recognition/awards events • Partner appreciation days • Family entertainment/attractions discount • Community service/improvement opportunities