Advocate Aurora Health · 13 hours ago
Billing Follow Up Rep Lead
Advocate Aurora Health is the third-largest nonprofit, integrated health system in the United States, providing care under various names across multiple states. They are seeking a Billing Follow Up Rep Lead who will be responsible for daily claims submissions, resolving charging issues, and overseeing a team to ensure efficient billing processes.
Health Care
Responsibilities
Responsible for daily claims submissions to the appropriate payer source. Communicates with internal and external parties to resolve charging issues affecting the claims. Reports trends with other departments that may improve the claims submission process
May be responsible for collection of an assigned section of the insurance receivables, following all procedures and guidelines established
Reviews assigned accounts and takes appropriate course of action: internal or external problems that may cause a delay in reimbursement
Responds to telephone or written correspondence from internal and external parties regarding insurance claims. Applies contractual allowances where necessary
Assists team with more complex issues to resolve problems, provides necessary training, and provides ongoing feedback on performance
Monitors and audits productivity, quality and analyzes daily statistics looking for any trends which are reported to management. May provide feedback to Billing Rep I and II
Attends and participates in meetings as required, attend outside seminars and be used as “train the trainer”. Share training knowledge with others as appropriate
Keeps abreast with insurance payor updates/changes and assists management with recommendations for implementation
Prioritize rejections to avoid timely filing insurance appeal limitations, may include denials
Accountable to assess and resolve advanced projects as assigned. Research/Distribute new upgrades/information from the Insurance Payers re: Contracts, guidelines, reimbursement rules and regulations and for computer systems
Qualification
Required
High School Diploma or General Education Degree (GED)
Typically requires 5 years of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience
Proficient in all follow up rep functions
Demonstrated ability to work and solve billing / follow up issues in a healthcare environment
Broad and comprehensive knowledge and understanding of department-specific procedures
Strong analytic, organization, communication (written and verbal), and interpersonal skills
Ability to successfully lead, coach, and train a team, and problem solve complex accounts
Knowledge of medical terminology, coding terminology (CPT, ICD-10, HCPC), and insurance/reimbursement practice
Able to use Zoom, Microsoft office, or other communication software for meetings
Benefits
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Company
Advocate Aurora Health
Advocate Aurora Health is a Healthcare
Funding
Current Stage
Late StageTotal Funding
$10.17MKey Investors
National Cancer Institute
2022-12-02Acquired
2019-08-20Grant· $10.17M
Leadership Team
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