Job Details | Account Billing Analyst - Corporate- Broadview, IL

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Presence Health

Location: BroadviewIL 60155 Document ID: AA163-0CRR Posted on: 2016-06-0206/02/2016 Job Type: Regular

Job Schedule:Full-time
2016-07-02
 

Account Billing Analyst - Corporate- Broadview, IL


Requisition ID: 13735

Location: Presence Res Behavioral Health

Location Address:
1820 South 25th Avenue, Broadview, IL 60155 United States (US)

Daily Hours: 4
Standard Hours: 20
Employment Status: Part-time
Employment Type: Regular
Shift: Day
FLSA: N

SUMMARY

The Account Billing Analyst performs duties related to order entry, processing, and collection of insurance. The Analyst ensures that appropriate payment is received for products sold and services rendered. This position is responsible for obtaining supporting documentation and written orders from physicians to comply with all state and federal regulations.

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Ensures charges, payments and adjustments are accurately posted on a daily basis.
  • Bills providers and customers, per primary and secondary practices, for services rendered and products sold. Generates hard copy bills via computer system. Re-bills as necessary.
  • Reviews bills prior to electronic transmission for accuracy. Ensures that all pre-certification and verification requirements have been complied with.
  • Verifies insurance coverage to establish reimbursement status for new customers. Insures receipt of written verification in instances of reimbursement negotiation.
  • Receives and tracks payments by posting payments to customer accounts and prepares deposits. Follows up on reimbursement problems such late payments, incorrect levels of payment, overpayment, etc.
  • Obtains financial information from guarantors and patients to ascertain ability to pay for rendered services. Provides assistance to guarantors/patients to assure payments to the office occurs in a timely manner.
  • Edits claims for validity, completeness and accuracy. Submits claims to third party payers for adjudication and payment. Maintains responsibility for facilitating claim adjudication and payment in a timely and accurate manner.
  • Reconciles monthly statements from outside vendors. Prepares check requests for appropriate amounts and forwards checks.
  • Maintains Accounts Receivable (AR) at an acceptable level as directed by management. Reports AR as assigned on a monthly and annual basis. Prepares associated reports and statistics per schedule and upon request.
  • Serves as an advocate for inquiries from patients or other responsible persons regarding physician charges/services. Investigates and determines appropriate corrective action and pursues such in fulfillment of customers' expectations and the financial position of the office.
  • Enters all referral data into the computer system and recommends accounts for adjustment or referral to a collection agency.
  • Orders and reports inventory levels for designated facilities as assigned.


  • This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. Other duties may be assigned.

    QUALIFICATIONS

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education and/or Experience

    High school diploma or equivalent required. Minimum of one year experience in data entry, physician billing and collections is required.

    Three years of experience preferred.

    Computer Skills

    Proficient in Microsoft Office software.

    *CB

    Business Unit: Corporate (LRHC and LPH)

    COMPANY OVERVIEW:

    EOE of Minorities/Females/Vets/Disability
         
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