Job Summary

FT Monday - Friday 0800 - 1630

Performs duties of moderate complexity, judgement, and scope in coordinating and managing all aspects related to insurance benefit information, authorization, billing and collections for all types of services. Will serve as a resource to patients and their families, clinical staff, physicians and insurance companies.

Essential Functions
 

Coordinates and manages the billing and collection functions for all payor types. Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, bundles all bills for submittal to insurance companies, rebills claims as necessary, followings up on claim status, performs regular account maintenance, collects and distributes payments appropriately. Researches insurance benefits, options and potential patient financial needs and discusses findings with patients and their families. Develops a financial plan with patients and their families. Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles. Obtains all necessary payer authorizations. Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations. Ensures that all payor approvals are current at all times.

 

Physical Requirements
 

 

Mobility required. Majority of the day spent sitting. Must be able to lift up to 5 lbs of patient charts. Work requires stretching to file or retrieve charts or manuals. Must be able to communicate with other groups and departments.

Education, Experience and Certifications
 

Bachelor’s Degree in Accounting, Finance or related field or 5 years of insurance related experience required. 1 to 2 years of reimbursement experience in a hospital setting is preferred.1 - 2 years of Pharmacy experience and 1-2 years of Patient Assistance preferred, Must be able to work independently and possess strong organizational, time management and interpersonal skills and be able to prepare and analyze financial reports. Must be proficient with medical terminology and be familiar with clinical considerations as these relate to transplant cases. Extensive analytical skills and focus on details. Excellent written and oral communication skills required. Microsoft Excel, Word, STAR and IDX experience required. Databases, hospital registration, billing and clinical systems preferred.

Our Commitment to You:​

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Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:​

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Compensation​

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training​ Premium pay such as shift, on call, and more based on a teammate's job​ Incentive pay for select positions​ Opportunity for annual increases based on performance​

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Benefits and more​

Paid Time Off programs​ Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability​ Flexible Spending Accounts for eligible health care and dependent care expenses​ Family benefits such as adoption assistance and paid parental leave​ Defined contribution retirement plans with employer match and other financial wellness programs​ Educational Assistance Program​

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Visit totalrewards.org to access your existing Total Rewards and view this FAQ to learn more about the internal transfer process.