Facility Biller

At
Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients.

Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!

These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers, and guests.

Job Summary:

We are seeking a motivated individual who is detail-oriented and takes a collaborative team approach to problem solving. The Facility Biller & AR Specialist performs the day-to-day billing and follow-up activities concerning facility claims for multiple locations and specialties. The Facility Biller & AR Specialist will review coding, correct and submit front-end rejections from the clearinghouse, review rejections from third-party payers, and analyze and monitor aged accounts receivables by identifying areas of concern by age, category, payer, provider specialty, and facility to resolve claim issues and resubmit in a timely manner.

Our ideal Facility Biller & AR Specialist will demonstrate the ability to juggle multiple tasks while exhibiting professionalism and superior communication skills at all times.

Duties:

• Review coding and correct front-end rejections in a timely manner for resubmission.
• Assist with uploading daily 837 files and monitor unbilled accounts.
• Reprocess rejections and file appeals for claim denials to ensure maximum reimbursement.
• Contact insurance companies regarding outstanding balances.
• Identify resubmission requirements, check eligibility, ensure authorization is on file, and verify claim status on payer websites to resolve account balances.
• Contact patients for updated insurance information when necessary.
• Monitor and follow-up on Aged Trial Balance Reports to identify issues causing cash delays.
• Resolve issues involving third-party payers.
• Communicate internal/external issues causing cash delays promptly.
• Answer patient calls and respond to questions promptly.
• Ensure patient account billing information and balances are up-to-date; make necessary adjustments and document activities for audit purposes.
• Perform other duties as assigned.

Qualifications:

• Eligibility to work in the U.S.
• High school diploma, GED, or equivalent required;
  Associate’s or Bachelor’s Degree preferred.
• 3+ years of coding/billing follow-up experience in a large multi-specialty physician office or hospital setting preferred.
• Billing and coding experience in Neurosurgery, Orthopedic, Anesthesia, or In-patient settings preferred.
• Certifications such as CPB, CPC, or CRCS preferred.
• Knowledge of eCare CMS is a plus.
• Knowledge of medical billing principles, federal and state regulations, CPT, HCPCS, ICD-10, and billing procedures.
• Proficiency in Outlook, G-suite, Google Docs, Word, Excel.
• Strong verbal and written communication skills.
• Ability to work in a fast-paced environment with positive attitude.
• Willingness to participate in professional development activities.
• Compassionate, respectful, and reliable in work results, attendance, and timeliness.
• Ability to work effectively with diverse populations.

Insight employees are required to be vaccinated for COVID-19, subject to accommodations for medical or religious reasons.

Insight is an equal opportunity employer and values workplace diversity!