Billing Follow up Representative I

About This Role

The Billing Follow-up Representative I is responsible for independently reviewing accounts and applying billing follow-up knowledge for all insurance payors to ensure proper and maximum reimbursement. This role uses multiple systems to resolve outstanding claims while adhering to compliance guidelines and supporting timely revenue collection.

Responsibilities

• Independently review accounts and apply billing follow up knowledge for all insurance payors to insure proper and maximum reimbursement.
• Utilize multiple systems to resolve outstanding claims according to compliance guidelines.
• Perform prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge.
• Communicate with internal teams and external customers, acting as a liaison with third party representatives to validate and correct information.
• Comprehend incoming insurance correspondence and respond appropriately.
• Identify and bring patterns/trends related to coding, compliance, contracting, and claim errors to leadership's attention.
• Accurately enter and/or update patient/insurance information into the patient accounting system and appeal claims.
• Comply and maintain Key Performance Indicators (KPI) for assigned payers within established department and insurance guidelines.
• Compile information for referral of accounts to internal/external partners as needed and maintain clear, accurate, on-line documentation of all activity.
• Read and understand all Advocate Aurora Health policies and departmental collections policies and procedures.

Requirements

• 1 year of related experience in medical/billing reimbursement environment or equivalent education and experience
• Basic keyboarding proficiency
• Ability to operate computer and software systems in use at Advocate Aurora Health
• Ability to operate a 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

Qualifications

• High School Diploma or General Education Degree (GED)
• 1 year of related experience in a medical/billing reimbursement environment, or equivalent combination of education and experience.

Nice to Have

• Knowledge of medical terminology, coding (CPT, ICD-10, HCPC), and insurance/reimbursement practices

Skills

* Required skills

Benefits