Apply on Employer Site

Advocate Aurora Health · 10 hours ago

Billing Follow Up Representative 1

Carolinas Medical Center - 1000 Blythe Blvd, Charlotte, NC

Full-time

Onsite

Entry Level

$20.40/hr - $30.60/hr

1+ years exp

Advocate Aurora Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. They are seeking a Billing Follow Up Representative 1 to independently review accounts, apply billing follow up knowledge for insurance payors, and communicate effectively with internal and external teams to ensure proper reimbursement.

Health Care

Responsibilities

Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. 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) and acts as a liaison with external third party representatives to validate and correct information

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 follow up 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

Billing follow up knowledgeMedical terminologyCPTICD-10HCPCSPatient accounting systemInsurance reimbursement practicesBasic keyboarding proficiencyComputer software proficiencyCommunication skills