Gibson Area Hospital & Health Services · 1 month ago
Accounts Receivable Specialist (CBO Rep) - PFS - Full Time
Gibson City, IL
Full-time
Onsite
New Grad, Entry Level
$19/hr - $25/hrGibson Area Hospital & Health Services is committed to providing personalized healthcare services to its community. The Accounts Receivable Specialist is responsible for accurate billing and follow-up on claims, ensuring prompt payment from various payers while maintaining communication with patients and insurance companies.
Health CareHospital
Responsibilities
Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties
Make Outgoing & Receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims
Ensures appropriate, accurate/timely follow-up to all insurance companies based on established policies and procedures
Review patient account information received from admissions and out patient registration. Identify any missing information and determine what avenue to take to insure timely follow-up
Adequately responds to billing questions and provide clarification to customers
Develops and maintains appropriate communication with insurance payers, outside agencies and internal departments
Appropriately refers all non-routine issues to management for clarification
Accountable for updating and preparing correspondence to customers and insurance payers as necessary
Effectively communicate to customers needs with the appropriate level of urgency
Process and scan all EOB’s/Correspondence received within 2 business days
Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers
Take incoming calls from patients regarding their insurance and billing
Process all walk-ins
Resolution of Credit Balance reports Monthly
Ability to work with fellow staff in a professional, courteous and respectful manner at all times
All other duties assigned by Director of PFS or Executive Director of Revenue Cycle
Work the denial program daily
Qualification
Required
Responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers
Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties
Make outgoing & receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims
Ensures appropriate, accurate/timely follow-up to all insurance companies based on established policies and procedures
Review patient account information received from admissions and out patient registration
Identify any missing information and determine what avenue to take to ensure timely follow-up
Adequately responds to billing questions and provide clarification to customers
Develops and maintains appropriate communication with insurance payers, outside agencies and internal departments
Appropriately refers all non-routine issues to management for clarification
Accountable for updating and preparing correspondence to customers and insurance payers as necessary
Effectively communicate to customers needs with the appropriate level of urgency
Process and scan all EOB's/Correspondence received within 2 business days
Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve any issues with Insurance Payers
Take incoming calls from patients regarding their insurance and billing
Process all walk-ins
Resolution of Credit Balance reports Monthly
Ability to work with fellow staff in a professional, courteous and respectful manner at all times
All other duties assigned by Director of PFS or Executive Director of Revenue Cycle
Work the denial program daily
Company
Gibson Area Hospital & Health Services
Healthcare.
Founded in 1952
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Robert Schmitt
CEO
Matthew Ertel
Chief Financial Officer
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