Collective Bargaining Unit: AFSCME 1178 Health and Hospital Systems Posting Salary: Starting Salary: $20.189
Organization: Health and Hospital Systems
Oak Forest Health Center
15900 S. Cicero Ave.
Oak Forest, IL 60452
The Third Party Billing & Follow-Up Representative facilitates the billing and collection processes of outstanding accounts receivable. Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic and billing information is updated. Makes recommendations to improve billing and collection practices in an effort to decrease the reimbursement time frame and accuracy of payment. Processes legal requests for information; ensures proper authorization is on file to support the request. (Multiple Vacancies)
Facilitates the billing and collection processes of outstanding accounts receivable
Communicates with internal and external contacts to explain primary, secondary and tertiary billing, collection and resolution of claims including Medicare and other government and non-government accounts
Monitors daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments; alerts management of high call volume patterns
Handles incoming and outgoing billing correspondence and phone inquiries relating to patient, third party administrators, attorneys, vendors and other insurance payers
Documents conversations and/or actions taken to support all claims inquiries, review and/or reconsiderations; streamlines the follow-up process of team members assisting on the file
Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic and billing information is updated
Works to resolve any claim or billing concerns and takes appropriate action to escalate issues to management when appropriate
Develops relationships with patients, third party administrators, attorneys, vendors and other insurance payers
Performs follow-up processes on accounts to work towards a zero balance
Files a timely reconsideration or review of claim with supporting documentation such as a corrected claim, medical records and letter of explanation as necessary; communicates with departments to gather information needed to resolve the claim
Makes use of the software and hospital systems in accordance to hospital policies and procedures
Performs account system updates such as changes to financial class, eligibility status, payor contact information or rebills
Communicates with team members of any changes or updates that may impact work flow outcomes such as billing address or contact information
Performs balance transfers
Develops weekly productivity reports for management; makes recommendations to improve billing and collection practices in an effort to decrease the reimbursement timeframe and accuracy of payment
Processes legal requests for information; ensures proper authorization is on file to support the request
Maintains compliance with all billing and collections practices and regulations set forth by local and federal government and any other governing agencies to include but not limited to Center for Medicaid & Medicare Services (CMS), American Health Information Management Association (AHIMA), Health Insurance Portability and Accountability Act (HIPAA), etc.
Completes annual education requirements
Performs special projects and other duties as assigned
High School Diploma or GED is required ( must provide proof at time of interview )
One (1) year of experience in hospital Third Party Billing and Account Follow-up is required
Current experience with a Hospital Revenue Cycle System is required
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
One (1) year of experience in Hospital Third Party Billing and Account Follow-up within a Multi-Hospital System
Bilingual English/Spanish or English/Polish
Knowledge, Skills, Abilities and Other Characteristics
Knowledge and familiarity with billing hierarchy levels and order of facilitation
Knowledge of compliance and regulations for billing and collection practices set forth by local and federal government and any other governing agencies
Knowledge of billing and collection processes in a hospital environment
Knowledge of Microsoft Office Suite
Knowledge of a hospital revenue cycle system
Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
Strong interpersonal and customer service skills
Demonstrate good phone and email etiquette skills with strong response times both on the phone and electronically
Demonstrate good computer and typing skills to support thorough documentation of phone call
Demonstrate analytical, problem-solving, critical thinking, and conflict resolution skills
Demonstrate attention to detail, accuracy and precision
Ability to prioritize, plan, and organize projects and tasks
Ability to multi-task and meet deadlines in a fast paced and stressful environment
Ability to adhere to department policies and standards utilizing best practices
Ability to maintain a professional demeanor and composure when challenged
Ability to function autonomously and as a team member in a multidisciplinary team
Ability to perform accurate and reliable mathematical calculations
Ability to see and hear clearly (including with correction)
When applying for employment with the Cook County Health & Hospital System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To Take advantage of the preference a Veteran must:
Meet minimum qualifications for the position
Identify self as a Veteran on the employment application by answering "Yes" to the question, "Are you a Military Veteran?"
Attach a copy of their DD 214, DD 215, or NGB 22 (Notice of Separation) at time of application filing. Please note: If you have multiple DD 214's, DD 215's, or NGB 22's , please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department or Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
*Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
The Cook County Health & Hospitals System’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCHHS is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCHHS is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, collaborative health plan and enhancing the patient experience.