Cook County Health · 5 hours ago
THIRD PARTY BILLING AND FOLLOW UP REPRESENTATIVE - PATIENT FINANCIAL SERVICE
Cook County, IL
Full-time
Onsite
Entry Level
$26.40/hr - $26.40/hr
1+ years expCook County Health is seeking a Third Party Billing and Follow Up Representative to facilitate the billing and collection processes of outstanding accounts receivable. The role involves analyzing claims, ensuring accurate coding, and improving billing practices to enhance reimbursement timelines. Responsibilities also include communication with various stakeholders and maintaining compliance with billing regulations.
Health CareHospital
Responsibilities
Facilitates the billing and collection processes of outstanding accounts receivable
Communicates with internal and external contacts to explain primary, secondary and tertiary billing, collection and resolution of claims including Medicare and other government and non-government accounts
Monitors daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments, alerts management of high call volume patterns
Handles incoming and outgoing billing correspondence and phone inquiries relating to patient, third party administrators, attorneys, vendors and other insurance payers
Documents conversations and/or actions taken to support all claims inquiries, review and/or reconsiderations; streamlines the follow-up process of team members assisting on the file
Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic and billing information is updated
Works to resolve any claim or billing concerns and takes appropriate action to escalate issues to management when appropriate
Develops relationships with patients, third party administrators, attorneys, vendors and other insurance payers
Performs follow-up processes on accounts to work towards a zero balance
Files a timely reconsideration or review of claim with supporting documentation such as a corrected claim, medical records and letter of explanation as necessary; communicates with departments to gather information needed to resolve the claim
Makes use of the software and hospital systems in accordance with hospital policies and procedures
Performs account system updates such as changes to financial class, eligibility status, payor contact information or rebills
Communicates with team members of any changes or updates that may impact workflow outcomes such as billing address or contact information
Performs balance transfers
Develops weekly productivity reports for management; makes recommendations to improve billing and collection practices in an effort to decrease the reimbursement timeframe and accuracy of payment
Processes legal requests for information; ensures proper authorization is on file to support the request
Maintains compliance with all billing and collections practices and regulations set forth by local and federal government and any other governing agencies to include but not limited to Center for Medicaid & Medicare Services (CMS), American Health Information Management Association (AHIMMA), Health Insurance Portability and Accountability Act (HIPAA), etc
Completes annual education requirements
Performs special projects and other duties as assigned
Qualification
Required
High School Diploma or GED (must provide proof at time of interview)
A minimum of One (1) year of experience in hospital third party billing and account follow-up is required
Current experience with a hospital revenue cycle system is required
Preferred
A minimum of One (1) year of experience in hospital third party billing and account follow-up within a multi-hospital system is preferred
Bilingual English/Spanish or English/Polish is preferred
Benefits
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Pension Plan
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
Company
Cook County Health
Cook County Health is the safety net for health care serves as the primary public provider of comprehensive medical services.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kaiser Permanente Center for Gun Violence Research and Education
2024-05-21Grant
Leadership Team
Erik Mikaitis
Chief Executive Officer
Recent News
GlobeNewswire
2026-01-02
Cook County Health
2025-09-17
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