Accounts Receivable Specialist – Hospital Billing, Epic Experience

🔥 1 minute ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $17 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

🏥 Healthcare

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• Manage accounts receivable according to compliance, regulatory, billing, and payer requirements • Collect outstanding receivables through payer portals and phone lines • Validate coverage and accurately submit insurance claims • Resolve charge-review edits, claim edits, clearinghouse rejections, and payer rejections • Follow up on outstanding receivables and complete basic appeals • Answer, document, and complete inquiries from insurance companies, internal departments, patients, public agencies, and third-party payers • Collaborate with Billing, Coding, Cash Posting, and other departments to ensure claims are processed and paid correctly • Research and resolve unpaid, rejected, denied, and allowance-discrepancy claims • Document collection activities in the billing system • Retrieve supporting medical documentation, eligibility information, billing guidelines, referrals, and authorizations • Review undistributed payments and apply them to open balances • Review and resolve incoming correspondence • Identify and request account adjustments • Resolve insurance setup errors • Evaluate credit/balance accounts and process refunds or payer recoupments • Prepare payer corrections, appeals, adjusted and corrected bills, accounts-receivable adjustments, and refunds • Answer departmental calls through a rotation line and direct callers appropriately • Perform other duties as assigned

🎯 Requirements

• Must have hospital billing experience • Must have Epic experience • Ability to take initiative, accept direction, and seek guidance appropriately • Ability to manage confidential information sensitively and discreetly in a HIPAA-compliant manner • Strong problem-solving and critical-thinking skills • Experience submitting electronic and paper claims to health insurance carriers • Experience submitting non-complex reconsiderations and/or appeals via paper, fax, or web portal • Ability to monitor, research, and resolve unpaid, rejected, denied, and allowance-discrepancy claims • Ability to analyze accounts and determine appropriate account-resolution actions • Ability to use clinical applications, payer websites, and other systems to research medical documentation, eligibility information, billing guidelines, referrals, and authorizations • Ability to resolve insurance setup errors, charge-review edits, claim edits, clearinghouse rejections, and payer rejections • Ability to evaluate credit/balance accounts, send refunds, and initiate payer recoupments • Ability to prepare appeals, corrected bills, accounts-receivable adjustments, and refunds • Qualifications fields list no specific certification, education, or work-experience requirement

🏖️ Benefits

• Comprehensive benefits package • Equal Opportunity Employer • E-Verify participation

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