Page Mechanical Group, Inc.
Patient Accounts Specialist
Page Mechanical Group, Inc., Chicago, Illinois, United States, 60290
La Rabida Children’s Hospital
Patient Accounts Specialist
La Rabida Children’s Hospital is hiring a Patient Accounts Specialist for the Financial Services Department in Chicago, IL.
La Rabida offers rewarding job opportunities across a wide array of clinical, administrative, and support service functions. If you’re ready to work for an organization where caring is a way of life, you’ve come to the right place!
Job Summary:
This position functions as an accurate and timely account billing and resolution specialist. The Patient Accounts Specialist reports directly to the Director of Revenue Cycle. The position collaborates and interacts with all departments to resolve and edit errors in support of hospital and departmental work activities. The position is responsible for analyzing and resolving outstanding receivables, utilizing remittance reports, payment advisories, explanation of benefits, provider portals, and performing claim corrections as needed.
Essential Functions:
Perform accurate and timely billing and follow-up, reconciliation, and resolution of outstanding account balances.
Identify potential reason(s) for payment denial and initiate appropriate remedial action.
Analyze and resolve outstanding receivables utilizing remittance reports, payment advisories, explanation of benefits, provider portals, and perform claim corrections as needed.
Process third-party payer denials and related correspondence in a timely and accurate manner.
Perform administrative and clerical functions including data entry, Xerox copying, filing, calculating, faxing, and creating and maintaining Excel reports as needed.
Collaborate and interact with all departments to resolve edit errors and act as a team member by covering for absences, training activities, etc.
Maintain job knowledge adequate to effectively carry out the responsibilities of assigned insurance groups including understanding of Illinois Medicaid and Managed Medicaid policies and billing guidelines.
Utilize third-party denial management systems to provide reports and workflow denials.
Calculate patient liability and perform system adjustments to support accurate patient statement billing as needed.
Respond to patient and/or insurer inquiries in a professional and knowledgeable manner, ensuring HIPAA and La Rabida guidelines are followed.
Monitor credit balance reports and perform analysis making appropriate claims adjustments and/or refunds as necessary.
Comply with departmental and organizational policies.
Participate in educational programs, in-service meetings, workshops, and other activities related to job performance and state regulations.
Adhere to work schedules and maintain a safe and orderly work area at all times.
Consistently provide service excellence to all patients, family members, visitors, volunteers, and co-workers.
What we need from you:
High School Diploma or GED required.
More than 5 years successful track record in healthcare.
Experience with Inpatient Hospital Billing and Collections, Outpatient Specialty billing and collections, and 1 year recent experience using electronic billing systems required.
3 years recent experience with hospital receivables and/or hospital billing required.
1 year recent work experience in medical receivables resolution required.
3 years experience in billing and collections for Illinois Medicaid required.
1 year experience in billing and collections of Medicaid Managed Care Programs required.
2 years experience in collections telephone calls to Payers required.
PC skills, including Microsoft Excel, Word, and Outlook.
Minimum of 3 years experience working with Meditech specific Accounts Follow-up and Collections on a daily basis.
Some knowledge of Medical Terminology – Preferred.
What you will receive:
Competitive Salary.
Comprehensive Medical, Dental, and Vision Coverage.
Life Insurance, Disability Insurance, and Accident Insurance.
Retirement Plan and Matching.
Generous Paid Time Off (PTO).
Tuition Reimbursement.
La Rabida Children’s Hospital is very proud to be an Equal Employment Opportunity Employer.
Conditions of Employment: Required to demonstrate full vaccination status for COVID-19 with an FDA authorized or approved vaccine; or qualify for a reasonable accommodation for an exemption based on a medical disability or sincerely held religious belief.
Who we are:
La Rabida Children’s Hospital is the only hospital of its kind in Chicago. As an acute care specialty hospital, we focus on treating those with complex medical conditions, chronic illnesses, developmental disabilities, abuse, and trauma. We understand the needs of families with children battling serious conditions, providing continuous, comprehensive care, education, and support.
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Patient Accounts Specialist
La Rabida Children’s Hospital is hiring a Patient Accounts Specialist for the Financial Services Department in Chicago, IL.
La Rabida offers rewarding job opportunities across a wide array of clinical, administrative, and support service functions. If you’re ready to work for an organization where caring is a way of life, you’ve come to the right place!
Job Summary:
This position functions as an accurate and timely account billing and resolution specialist. The Patient Accounts Specialist reports directly to the Director of Revenue Cycle. The position collaborates and interacts with all departments to resolve and edit errors in support of hospital and departmental work activities. The position is responsible for analyzing and resolving outstanding receivables, utilizing remittance reports, payment advisories, explanation of benefits, provider portals, and performing claim corrections as needed.
Essential Functions:
Perform accurate and timely billing and follow-up, reconciliation, and resolution of outstanding account balances.
Identify potential reason(s) for payment denial and initiate appropriate remedial action.
Analyze and resolve outstanding receivables utilizing remittance reports, payment advisories, explanation of benefits, provider portals, and perform claim corrections as needed.
Process third-party payer denials and related correspondence in a timely and accurate manner.
Perform administrative and clerical functions including data entry, Xerox copying, filing, calculating, faxing, and creating and maintaining Excel reports as needed.
Collaborate and interact with all departments to resolve edit errors and act as a team member by covering for absences, training activities, etc.
Maintain job knowledge adequate to effectively carry out the responsibilities of assigned insurance groups including understanding of Illinois Medicaid and Managed Medicaid policies and billing guidelines.
Utilize third-party denial management systems to provide reports and workflow denials.
Calculate patient liability and perform system adjustments to support accurate patient statement billing as needed.
Respond to patient and/or insurer inquiries in a professional and knowledgeable manner, ensuring HIPAA and La Rabida guidelines are followed.
Monitor credit balance reports and perform analysis making appropriate claims adjustments and/or refunds as necessary.
Comply with departmental and organizational policies.
Participate in educational programs, in-service meetings, workshops, and other activities related to job performance and state regulations.
Adhere to work schedules and maintain a safe and orderly work area at all times.
Consistently provide service excellence to all patients, family members, visitors, volunteers, and co-workers.
What we need from you:
High School Diploma or GED required.
More than 5 years successful track record in healthcare.
Experience with Inpatient Hospital Billing and Collections, Outpatient Specialty billing and collections, and 1 year recent experience using electronic billing systems required.
3 years recent experience with hospital receivables and/or hospital billing required.
1 year recent work experience in medical receivables resolution required.
3 years experience in billing and collections for Illinois Medicaid required.
1 year experience in billing and collections of Medicaid Managed Care Programs required.
2 years experience in collections telephone calls to Payers required.
PC skills, including Microsoft Excel, Word, and Outlook.
Minimum of 3 years experience working with Meditech specific Accounts Follow-up and Collections on a daily basis.
Some knowledge of Medical Terminology – Preferred.
What you will receive:
Competitive Salary.
Comprehensive Medical, Dental, and Vision Coverage.
Life Insurance, Disability Insurance, and Accident Insurance.
Retirement Plan and Matching.
Generous Paid Time Off (PTO).
Tuition Reimbursement.
La Rabida Children’s Hospital is very proud to be an Equal Employment Opportunity Employer.
Conditions of Employment: Required to demonstrate full vaccination status for COVID-19 with an FDA authorized or approved vaccine; or qualify for a reasonable accommodation for an exemption based on a medical disability or sincerely held religious belief.
Who we are:
La Rabida Children’s Hospital is the only hospital of its kind in Chicago. As an acute care specialty hospital, we focus on treating those with complex medical conditions, chronic illnesses, developmental disabilities, abuse, and trauma. We understand the needs of families with children battling serious conditions, providing continuous, comprehensive care, education, and support.
#J-18808-Ljbffr