Fin Assessor SBO Patient Acctg jobs in United States
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Northwestern Memorial Hospital · 16 hours ago

Fin Assessor SBO Patient Acctg

Northwestern Memorial Hospital is a community of colleagues dedicated to delivering world-class care. The Fin Assessor SBO Patient Accounting role involves managing billing processes, resolving claims, and ensuring compliance with regulatory standards while providing excellent customer service to patients and payers.

Health Care

Responsibilities

Timely resolution of all claim edits and management & reporting of candidates for bill
Outbound compliant bill submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims
Timely follow-up and collection of third party payer receivables and tracking of third party yields
Denials and Appeals resolution including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution
Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.)
Adhere to all regulatory billing requirements reporting any suspected breaches or concerns to the Patient Accounting Manager and Corporate Integrity & Compliance (HIPAA, Patient Privacy, and ACA Consumer Protections)
Consistently meet the current productivity and quality standards in edit resolution, account follow-up, payment processing activities including payment posting, reconciliation and refunds, handling high volume of phone calls, including wrap up time between calls, ready status/availability for calls, and timely handling of patient concerns and correspondence, while maintaining the Patient First philosophy
Receive and direct the public, in person or by telephone, in a professional and courteous manner
Answer patient inquiries with the objective of resolving the patient issue in one call or directing inquiries to the appropriate representative if the issue cannot be resolved immediately
Enter appropriate documentation of all account activity
Provide clerical support to the management and supervisory staff as needed
Manage early-out vendor return accounts as outlined in the NMHC Self-Pay Collection Procedure
Coordinate communication with early-out vendor staff regarding patient accounts, concerns, and complaints as outlined in the NMHC Self-Pay Collection Procedure
Enter appropriate documentation of all new insurance information to restart the billing and follow-up cycle as appropriate
Respond to patient, payor, and employee inquiries regarding hospital and professional balances, financial assistance applications, and both hospital and clinics visits as they relate to the SBO
Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices
Seamlessly transition patient calls to and from early out vendor staff as required
Provide individual contribution to the overall team effort of achieving the department accounts receivable goals
Identify opportunities for customer, system and process improvement and submit to management
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities
Follow the NMHC general Policy and Procedures, the Departments Policy and Procedures, and any Emergency Preparedness Procedures
Follow JCAHO and outside regulatory agencies mandated rules and procedures
Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor
Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor
Utilize assigned computer hardware and report hardware problems to the appropriate supervisor
Participate in the testing for assigned software applications, including verification of field integrity
Assist the Operational Coordinator and Team Lead Financial Assessor with special projects and other duties as assigned, as necessary
Attend training and seminars as assigned and approved by the Customer Service Coordinator

Qualification

Billing knowledgeHIPAA standardsMicrosoft OfficeMathematical calculationsMedical terminologyCustomer serviceCommunicationOrganizational skillsTime managementProblem solving

Required

High school diploma
1 year of related work experience or college degree
Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid
Knowledge of HIPAA standards
Ability to perform mathematical calculations
Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices
Basic knowledge of medical terminology and billing practices
Extensive experience and knowledge of PC applications, including Microsoft Office and Excel
Ability to learn quickly and meet continuous timelines
Ability to exhibit behaviors consistent with principles of excellent service
Ability to demonstrate and maintain competency as required for job title and the unit/area(s) of assignment
Ability to exhibit behaviors consistent with standards of performance improvement and NMHC values

Preferred

2 + years of college or college degree
Call center or telephone work experience
Knowledge of Epic Systems
Two (2) years of progressive work experience in a hospital/physician billing or SBO environment
Detail-oriented, good organizational skills, and ability to be self-directed
Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere
Flexibility to perform other tasks as needed in an active work environment with changing work needs
High-level problem solving, analytical, and investigational skills
Excellent internal/external customer service skills
Excellent communication skills to include oral and written comprehension and expression

Benefits

$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year ($125 for part-time)
Matching 401(k)
Excellent medical, dental and vision coverage
Life insurance
Annual Employee Salary Increase and Incentive Bonus
Paid time off and Holiday pay

Company

Northwestern Memorial Hospital

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Northwestern Memorial Hospital is an academic medical center.

Funding

Current Stage
Late Stage

Leadership Team

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Lisa Nguyen
Co-Founder of Volunteer Services to Cardiology Department
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Adewumni Sulaiman
ECMO Specialist
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Company data provided by crunchbase