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Advocate Health Care · 1 day ago

Billing Follow Up Rep II

Oak Brook, IL

Part-time

Onsite

Entry Level

$21/hr - $32/hr

2+ years exp

Advocate Health Care is a healthcare organization seeking a Billing Follow Up Rep II to manage claims submissions and follow-up on open insurance claims. The role involves resolving outstanding claims, communicating with internal and external parties, and maintaining compliance with billing practices.

Clinical TrialsDeliveryHealth Care

H1B Sponsor Likely

Responsibilities

Responsible for daily claims submissions (electronic transmittals, personal computer applications and hard copy claims) to the appropriate responsible parties. Acts as a resource person, assists teams with more complex issues, works with team members to facilitate problem resolution and may provide training. May be involved in quality audit process, productivity, and special projects as assigned. Uses multiple systems to resolve outstanding claims according to compliance guidelines

Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources

Ability to timely and accurately communicate with internal teams and external customers (ie;third party payors, auditors, other entity) via phone or mail and acts as a liaison with external third party payer (insurance) representatives to validate and correct information and ensure regulatory and contractual compliance. Comprehends incoming insurance correspondence and responds appropriately

Identifies and brings patterns/trends to leaderships attention re:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts

Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors

Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines. Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and collection efforts for each account, utilizing established guidelines

Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH

This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate account information. Approval needed to write off balance’s according to corporate policy. Issues outside normal scope of activity and responsibility

Qualification

Medical terminologyCPT codingICD-10 codingHCPCS codingBilling reimbursementAnalytic skillsKeyboarding proficiencySoftware proficiencyCommunication skillsProblem-solving skillsOrganizational skills

Required

High School Diploma or General Education Degree (GED)

Typically requires 2 years of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience

Basic keyboarding proficiency

Must be able to operate computer and software systems in use at Advocate Aurora Health

Able to operate a copy machine, facsimile machine, telephone/voicemail

Ability to read, write, speak and understand English proficiently

Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals

Knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices

Ability to problem solve complex billing, coding and contract issues

Able to use Zoom, Microsoft office, or other communication software for meetings

Proficient knowledge base and understanding of department-specific policies and procedures

Strong analytic, organization, communication (written and verbal), and interpersonal skills

Company

Advocate Health Care

Advocate Health Care is an integrated healthcare delivery system based in Illinois, United States.

Founded in 1995

Oak Brook, Illinois, USA

10001+ employees

http://www.advocatehealth.com

H1B Sponsorship

Advocate Health Care has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (26)

2024 (9)

2023 (6)

2022 (16)

2021 (8)

2020 (7)