Billing Follow Up Representative I

We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate, navigation, legal, EEO, etc. Must not create sections with filler like "commensurate with experience". Must include Pay and Schedule only if posting actually states them. The posting includes Pay Range $20.80 - $31.20, Schedule Details/Additional Information Full time employee, Hours Per Week 40, Benefits Eligible Yes. So we have Pay, Schedule, Benefits. Also we have "About the role" maybe from description? The posting includes "Department 13468 Enterprise Revenue Cycle - Non Government Billing Operations: SE PB 2 Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Full time employee Pay Range $20.80 - $31.20 Advocate Aurora Health candidates must live in these states: ..." Then "Major Responsibilities" list. Then "Minimum Education And Experience Required". Then "Minimum Knowledge, Skills And Abilities (ksa)". Then "Preferred but not required knowledge...". Then "This job description indicates the general nature...". Then "Our CommitmenttoYou Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs...". Then "About Advocate Health". Then "To support moderately complex processes related to billing, coding, and reimbursement..." (maybe duplicate). We need to extract substantive content. We need sections: About the role (maybe a summary paragraph). Responsibilities (list). Requirements (maybe education/experience). Qualifications (maybe knowledge/skills/abilities). Skills (maybe separate). Benefits (list). Pay (maybe just the range). Schedule (hours per week). We must not create sections with filler. Must include only if content present. We need to decide what goes where. The instructions: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose which to include. We have: - About the role: Could be a paragraph summarizing the role: maybe from "To support moderately complex processes related to billing, coding, and reimbursement. Actively following up with insurance carriers on open insurance claims. Team Member must have an understanding of contractual relationships. Supports complete and timely revenue collection from patients, third party payers, via accurate entry and/or correction of patient, charges and insurance information into the system. Brings patterns/trends to coding and compliance, contracting and credentialing and leadership for any potential in delay/denial of reimbursement. Verifies daily electronic claim submission." That seems like a description of role. Also earlier "Major Responsibilities" list. So we could put a brief paragraph under About the role. - Responsibilities: list from "Major Responsibilities". That's a long list of duties. We'll put each as

. - Requirements: Minimum Education And Experience Required: High School Diploma or GED, 1 year related experience. - Qualifications: Could be Minimum Knowledge, Skills And Abilities (ksa) plus Preferred but not required knowledge. Could split into Qualifications (required) and Skills (preferred). But we have separate headings for Qualifications and Skills. We could put required KSAs under Qualifications, and preferred knowledge under Skills. - Benefits: from "Our CommitmenttoYou Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits And More 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 Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview." We need to extract substantive benefits: Paid Time Off programs, Health and welfare benefits (medical, dental, vision, life, short- and long-term disability), Flexible Spending Accounts, Family benefits (adoption assistance, paid parental leave), Defined contribution retirement plans with employer match, other financial wellness programs, Educational Assistance Program. Also mention compensation base compensation etc but that's covered in Pay. We should not include filler like "competitive compensation" maybe okay but it's substantive. We'll list benefits as bullet points. - Pay: Pay Range $20.80 - $31.20. - Schedule: Hours Per Week 40, Schedule Details/Additional Information Full time employee, Benefits Eligible Yes. So schedule: Full-time, 40 hours per week. We must not repeat job title. Must not include metadata like Department number etc. Should we include location restrictions? That's substantive: "Advocate Aurora Health candidates must live in these states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL*, IN, KS, KY, LA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY". That's a requirement (location). Could be placed under Requirements or Qualifications. Probably under Requirements as a location requirement. We must not include boilerplate like "This job description indicates the general nature..." etc. Remove that. Also remove "Our CommitmenttoYou" heading? We'll keep benefits. We must not include "About Advocate Health" maybe that's about the company, not role. Could be considered boilerplate? It's substantive about the employer but maybe not needed. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Advocate Health" is not exactly boilerplate but could be considered company overview. Might be okay to keep but not required. The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. So we should keep it if it's substantive. However, we have limited sections; we could add an "About the company" section but not in allowed headings. The allowed headings are limited to those list. We could put it under About the role? But that might be mixing. Perhaps we can include a short paragraph under About the role that includes company overview. But the instruction says About the role heading for section headings (e.g. About the role, Responsibilities...). So we can use About the role to include both role description and company overview. That seems acceptable. Thus About the role paragraph: combine role purpose and company overview. Now we need to output only HTML fragment, no /, no markdown. We'll produce something like:

About the role

...

Responsibilities

• ...
...

Requirements

• High School Diploma or GED
• Typically requires 1 year of related experience in a medical/billing reimbursement environment, or equivalent combination of education and experience
• Must reside in one of the following states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL*, IN, KS, KY, LA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Qualifications

• Ability to work independently with limited supervision
• Accountable and evaluated to organization behaviors of excellence
• Basic keyboarding proficiency
• Ability to operate computer and software systems used at Advocate Aurora Health
• Ability to operate 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

Skills

• Preferred but not required knowledge of medical terminology, coding (CPT, ICD-10, HCPC) and insurance/reimbursement practices
• Ability to communicate well with people to obtain basic information (via telephone or in person)

Benefits

• Paid Time Off programs
• Health and welfare benefits: medical, dental, vision, life, short- and long-term disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits: adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Pay

Pay range: $20.80 - $31.20 per hour

Schedule

Full-time position, 40 hours per week

We need to ensure we didn't include any filler like "commensurate with experience". Not present. Check for duplication: We included responsibilities list from Major Responsibilities. Let's extract them precisely. Major Responsibilities text: "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 attentionre: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 accountinformation. Approval needed to write off balance’s according to corporate policy. Issues outside normal scope of activity and responsibility." We need to turn each sentence into a bullet. Ensure we keep all info. We'll produce bullet points accordingly. Now check Requirements: we included education, experience,