Account Service Representative II

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.Location : Ann & Robert H. Lurie Children's Hospital of ChicagoJob DescriptionEssential Job Functions:Demonstrated mastery of all job functions of Account Service Representative IDepartment EPIC super user.Department EPIC tester related to project testing.Cross trained in all aspects of operation functions.Develop Standard Operating Procedures for department.Ensures claims are received at the clearinghouse in a timely and accurate fashion. Ensures all information is accurate and compliant with industry and federally mandated standards.Initiates written and/or verbal inquiries with third party payers to secure payments of the balances due. Completes account documentation to provide a clear audit trail to support all collection activity. Exhausts all available resources in an effort to expedite the payment of account balances.Analyzes account detail and utilizes available resources (contract information) to ensure that proper reimbursement from third party payers has been calculated, received and/or is still due. Verifies that adjustments have been applied and the balance due is correct.Must be able to track, respond, trend, and multitask within the practice management system.Must be able to identify trends, inform supervisor of insurance company stall tactics or slow pay statuses. Must be able to know when it's appropriate to escalate when process has failed.Quality must be at 85% consistently.Productivity at 85% consistently.Utilize work queues to follow-up on outstanding claims.Communicates with all payers in accordance with Lurie Children's policies in order to resolve accounts. Documents actions taken and account statuses in the appropriate hospital system so that all staff working an account are aware of the information.Ensures reimbursement is maximized through exhausting all internal efforts towards resolution of a claim. Performs due diligence as outlined by department policies and procedures.Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.Other job functions as assigned.RequirementsHigh school graduate required; physician or hospital billing experience and/or training, BS or BA preferred.Knowledge of ICD_10 coding, medical terminology, third party billing and collections, required.EPIC experience preferred.Excellent communication and listening skills.Problem solving ability and able to handle multiple priorities.Knowledge of windows-based personal computers is required and experience with electronic claims editing software preferred.Demonstrates effective utilization of the features of the telephone system in order to achieve greater productivity with appropriate collection practices and techniques.Thorough knowledge of patient accounting, third party payer procedures, governmental regulations and managed care contracting to be effectively proactive in the billing and collection process, and to respond to inquiries on patient accounts in a customer satisfaction manner.Education

: High School Diploma/GED (Required)Benefit StatementFor full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:Medical, dental and vision insuranceEmployer paid group term life and disabilityEmployer contribution toward Health Savings AccountFlexible Spending AccountsPaid Time Off (PTO), Paid Holidays and Paid Parental Leave403(b) with a 5% employer matchVarious voluntary benefits:Supplemental Life, AD&D and DisabilityCritical Illness, Accident and Hospital Indemnity coverageTuition assistanceStudent loan servicing and supportAdoption benefitsBackup Childcare and EldercareEmployee Assistance Program, and other specialized behavioral health services and resources for employees and family membersDiscount on services at Lurie Children's facilitiesDiscount purchasing programThere's a Place for You with UsAt Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship.

This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.Lurie Children's and its affiliates are equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.Support email:

candidatesupport@luriechildrens.org

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