Financial Services Rep 2-28542

About the role

General purpose of the position is to manage the open receivable including, securing reimbursement, guarding the Medical Centers assets, minimizing financial risk, working on behalf of our patient's financial liability. The Financial Services Representative 2 is also responsible for responding to internal audits. The ultimate goal of this position is to decrease receivables and increase quality and productivity. This role includes performing re-bills, Debit & Credits, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits as well as notifying denial management of audits. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Responsibilities

• Actively manage account balances to ensure compliance with Federal and State regulatory requirements and evaluate each account to ensure that each account balance is collected in accordance with the contract allowable payment schedule.
• Follow up on claims with the appropriate payer for reimbursement.
• Work directly with various departments to ensure charges are properly credited and/or debited.
• Develop, manage, and maintain various electronic documents used to manage these projects.
• Develop and report status of trend issues weekly.
• Eagerly accept challenging assignments.
• Collaborate with other departments, physician offices, and other clinical areas to ensure charges and diagnosis are consistent and that the financial information being used is correct during the billing process.
• Communicate constructively with patients and other Rush departments to achieve mutually positive business and service outcomes.
• Monitor the Illinois Healthcare and Family Services (HFS) website for updates to ensure accounts are compliant with Federal and State requirements.
• Work within your team to ensure the team has all related job workflows and processes.
• Monitor system enhancements and develop and communicate constructive feedback/issue solutions for problems as discovered.
• Develop, implement, and monitor system enhancements.

Requirements

• High School Diploma or GED.
• Two years of experience in health care or hospital billing with an understanding of coverage eligibility requirements for governmental payers.
• Previous experience in a hospital setting, familiarity with medical terminology and patient fiscal matters.
• Familiar with Nebo's eCare billing editors such as Classic and CMS.
• Specific knowledge of Microsoft Office in order to design, implement, track, and maintain moderately complex statistical information.
• Strong analytical skills including statistical, mathematical, and organizational abilities necessary for accurate reporting to payers and management.
• Strong interpersonal skills for communication of finance-related issues to management and ancillary departments.
• Sound