Accounts Receivable/ Billing Rep 2
Urbana, Illinois
Employer: Carle Health
Industry:
Salary: Competitive
Job type: Full-Time
Position Summary:
The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined payer product line.
Qualifications:
EDUCATIONAL REQUIREMENTS
None Required
CERTIFICATION & LICENSURE REQUIREMENTS
None specified
EXPERIENCE REQUIREMENTS
One (1) year experience in health care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems.
SKILLS AND KNOWLEDGE
Possesses the "other knowledge and skills" of the Accounts Receivable Representative 1. Additionally, has the ability to critically think and solve complex problems and issues with minimal or no supervision.
Essential Functions:
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined payer product line.
Qualifications:
EDUCATIONAL REQUIREMENTS
None Required
CERTIFICATION & LICENSURE REQUIREMENTS
None specified
EXPERIENCE REQUIREMENTS
One (1) year experience in health care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems.
SKILLS AND KNOWLEDGE
Possesses the "other knowledge and skills" of the Accounts Receivable Representative 1. Additionally, has the ability to critically think and solve complex problems and issues with minimal or no supervision.
Essential Functions:
- Must be able to perform essential job functions of Accounts Receivable Representative 1.
- Handles complex edits, correspondence and advanced level work queues such as but not limited to retro review, EOB balancing, 72 hour bundling rule, consecutive account review and credit adjustment review, etc.
- Handles escalated account activities such as but not limited to healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims, fraud cases and attorney requests, etc.
- Handles escalated appeals.
- Identifies payer and system issues to initiate project requests for process improvements and system optimization.
- Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.
- Accountable for administering the Carle Financial Assistance Program, Illinois Uninsured Discount Program, Prompt Pay Discount Program, etc.
- Directs patients to the appropriate resources to help obtain benefits from outside services.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
Created: 2024-05-15
Reference: 42401
Country: United States
State: Illinois
City: Urbana
Similar jobs:
-
Customer Service Rep
AAR in Wood Dale, Illinois -
Junior Sales Rep (NE) - Chicago SOUTH
DR Horton in Schaumburg, Illinois -
Rep, Business Development
MSC Industrial Supply Co in Rockford, Illinois -
Rev Cycle Regional Rep 2
Carle Health in Normal, Illinois -
AWS Enterprise Sales Rep, HCLS , AGS-NAMER-US-COV-SALES-HCLS-BIO-A
Amazon in Chicago, Illinois -
Sales Rep Post Acute Care
Medline Industries in Springfield, Illinois -
Customer Service Rep (ET)
MSC Industrial Supply Co in Machesney Park, Illinois💸 $19 per hour -
Customer Service Rep
Exela Enterprise Solutions, Inc. in Chicago, Illinois💸 $18.00 per hour -
Patient Registration Rep Specialty Services Float
Carle Health in Olney, Illinois -
Certified Medical Assistant (CMA)/Medical Office Rep/Driver - Mobile Clinic
Carle Health in Normal, Illinois -
Customer Service Rep (ET)
MSC Industrial Supply in IL, Illinois -
Rev Cycle Regional Rep 2
Carle Health in Normal, Illinois -
Enterprise Technical Support Rep
The Heico Companies, LLC. in Downers Grove, Illinois -
Customer Service Rep (ET)
MSC Industrial Supply in IL, Illinois -
Outside Sales Rep (OSR) Walmart - KEN'S
Acosta, Inc in Evergreen Park, Illinois -
Bilingual Insurance Sales and Marketing Rep
StaffMyAgency LLC in CHICAGO, Illinois -
HAGS-Con Svc Rep 2 - Team A
Carle Health in Urbana, Illinois -
Customer Service Rep
WestRock in New Lenox, Illinois -
Pricing Rep I
James Hardie Building Products Inc in Chicago, Illinois -
Business Service Rep- Evening Shift
Carle Health in Urbana, Illinois