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Billing Follow Up Representative

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🔥 4 minutes ago

🏈 Alabama, Alaska, +31 more states – Remote

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💵 $20 - $31 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Advocate Aurora Health

Advocate Aurora Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 Description

• Independently review accounts and apply billing follow-up knowledge for insurance payors to ensure proper and maximum reimbursement • Use multiple systems to resolve outstanding claims according to compliance guidelines • Perform prebilling, billing, and follow-up activity on open insurance claims • Obtain necessary documentation from various resources • Communicate with internal teams and external customers, including third-party payors and auditors • Liaise with external third-party representatives to validate and correct information • Comprehend incoming insurance correspondence and respond appropriately • Identify and escalate patterns and trends related to coding and compliance, contracting, claim form edits/errors, and credentialing • Monitor insurance payer updates, changes, and single case agreements • Assist management with recommendations for implementing edits and alerts • Enter and update patient and insurance information in the patient accounting system • Appeal claims to ensure contracted amounts are received from third-party payors • Maintain KPI standards for assigned payers • Compile information for referral of accounts to internal or external partners • Maintain clear and accurate online documentation of billing and follow-up activity for each account • Understand and follow Advocate Aurora Health and departmental collections policies and procedures • Use Advocate Aurora Health software systems proficiently • Refer unusual, unreasonable, inaccurate, or out-of-scope account issues to the supervisor • Obtain approval for balance write-offs according to corporate policy

🎯 Requirements

• High School Diploma or General Education Degree (GED) • Typically requires 1 year of related experience in a medical/billing reimbursement environment, or equivalent combination of education and experience • Basic keyboarding proficiency • Ability to operate computers and software systems used at Advocate Aurora Health • Ability to operate a copy machine, facsimile machine, telephone/voicemail • Ability to read, write, speak and understand English proficiently • Ability to read and interpret explanation of benefits (EOB), operating instructions, and procedure manuals • Ability to work independently with limited supervision • Ability to meet departmental productivity and quality standards • Preferred but not required knowledge of medical terminology, coding terminology (CPT, ICD-10, HCPC), and insurance/reimbursement practices • Ability to communicate well with people to obtain basic information

🏖️ Benefits

• Benefits eligible • Option to flex schedule after 90 days • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance and paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program • Opportunity for annual increases based on performance • Premium pay such as shift and on-call pay, based on role • Incentive pay for select positions

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