Financial Services Rep 3-27651

Responsibilities

• Writes standard appeal letters to Managed Care payers and submit charts when needed with these appeals.
• Works with Rush University Medical Center and Rush Oak Park Hospital departments as needed to obtain any missing information.
• Maintains thorough understanding of medical policies and applies them to current denial situations.
• Attends payer meetings as needed.
• Contacts physician offices and works with their staff to identify rationale and resolve denials.
• Manages assigned work queues in Epic.
• Sets up cases for denial management representatives as needed.
• Acts as the first point of contact for resolution of escalated issues internally.
• Escalates issues to manager or payers as needed.
• Documents activity in all HCF systems with narratives of action taken.
• Serves key role as mentor and trainer to other denial management representatives and other sections of Healthcare Finance as needed.
• Denial Avoidance / Payment delay management.
• Identifies trends and assists with developing process improvements.
• Collaborates with other Healthcare Finance members when technical issues arise.
• Creates BDC records in Epic.
• Demonstrates contributions to financial goals reflected by suggested process improvements.
• Identifies and prints the needed medical records in Epic.
• Willingness to engage in continual education and training in the subject field.
• Participates in educational activities.
• May lead and direct work of others; assists with training new staff as needed.
• Maintains strictest confidentiality.
• Performs special projects as assigned by the Director of Revenue Management.

Requirements

• HS Diploma
• 2 years’ experience in a healthcare environment.
• General knowledge of the healthcare field.
• Working knowledge of Epic.
• Advanced knowledge of the review process for commercial payers and government review agencies.
• Strong computer, interpersonal and mathematical skills.
• Technical aptitude with the ability to quickly gain proficiency with relevant computer applications.
• Proficiency with Microsoft Office.
• Ability to perform multiple tasks with strong time management skills.

Qualifications

• Advanced knowledge of the review process for commercial payers and government review agencies.
• Strong computer, interpersonal and mathematical skills.
• Technical aptitude with the ability to quickly gain proficiency with relevant computer applications.
• Proficiency with Microsoft Office.
• Ability to perform multiple tasks with strong time management skills.

Skills

• Strong communication skills.
• Attention to detail.
• Problem-solving skills.
• Time management skills.
• Computer literacy.

Benefits

• Rush offers exceptional rewards and benefits.

Pay

• $20.19 - $31.80 per hour

Schedule

• Shift 1
• 8 Hr (8:00:00 AM - 4:30:00 PM)