Patient Financial Services Follow Up

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🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

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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 denial codes and explanations of benefits to determine appropriate follow-up • Contact payers, resubmit claims, and prepare disputes, appeals, and reconsiderations • Draft appeals and complete reconsideration forms based on payer requirements • Obtain and send medical records to substantiate medical necessity • Review paper and electronic billing forms for accuracy • Contact patients or payers to obtain information needed to resolve account balances • Identify and escalate trends in payer rejections and denials • Use patient accounting systems, biller files, Revenue Cycle resources, and payer databases to resolve account issues • Research and escalate high-priority No Authorization denials and high-dollar accounts • Work billing functions as needed • Coordinate with management and external departments on unresolved accounts and process redesign initiatives • Interact with Patient Financial staff, including training and document sharing • Complete special projects and meet assigned productivity goals • Partner with Revenue Cycle Training to host shadowing sessions for new partner orientations • Report equipment malfunctions and supply needs

🎯 Requirements

• High school diploma or equivalent • Microsoft Excel required • Healthcare billing experience preferred • 2–3 years of Revenue Cycle experience within the medical field required • Basic understanding of working in multiple software applications simultaneously • Epic billing or HFMA CRC certification, or comparable certification • Internal candidates must have scored Level 4 or higher on the most recent annual evaluation

🏖️ 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