What are the responsibilities and job description for the FACILITY BILLER position at Insight?
WE ARE INSIGHT :
At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!
These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers, and guests.
Job Summary :
We are seeking a motivated individual who is detail oriented and takes a collaborative team approach to problem solving, the Facility Biller & AR Specialist performs the day-to-day billing and follow-up activities concerning facility claims for multiple locations, and specialties. The Facility Biller & AR Specialist will review coding, correct and submit front-end rejections from the clearing house, review rejections from third party payers, along with analyzing and monitoring any aged accounts receivables through identifying areas of concern by age, category, payer, provider specialty, and facility to order to resolve claim issues and resubmit in a timely manner. Our ideal Facility Biller & AR Specialist will be able to demonstrate juggling multiple tasks while simultaneously exhibiting professionalism and superior communication skills at all times.
Duties :
- Reviews coding and corrects front-end rejections in a timely manner for resubmission.
- Assist uploading of daily 837 files, monitoring unbilled accounts.
- Reprocess rejections, and file appeals for claim denials to ensure maximum reimbursement for services provided.
- Contacts insurance companies regarding outstanding insurance balances.
- Identifies what is needed for resubmission, checks eligibility, ensures authorization is on file, and verifies claim status on payer websites to ensure all the necessary billing information has been satisfied to resolve the account balance.
- Contacts patients for updated insurance information when necessary.
- Monitors and follows-up on Aged Trial Balance Report by identifying areas of concern which may cause cash delays.
- Resolves issues involving third party payers.
- Communicates internal / external issues that cause cash delays in a timely manner.
- Answers patient calls and responds to questions in a timely manner.
- Ensures patient account billing information and account balances are up-to-date; makes necessary adjustments in the computer system and documents all activity taken on the account for an audit trail.
- All other duties as assigned.
Qualifications :
Benefits :
Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!
