This job was posted by https://illinoisjoblink.illinois.gov : For more
information, please see:
https://illinoisjoblink.illinois.gov/jobs/11884401 By joining our team,
you\'ll be part of our life-changing Mission and Vision. You\'ll work in
a truly inclusive environment where diversity and equity are championed
through words and actions. You\'ll contribute to an innovative culture
that is second to none, one that embraces curiosity, discovery and
compassion. You\'ll play a role in something that\'s never been done
before as we integrate science and clinical care to help patients
achieve better, faster outcomes - as we Advance Human Ability, together.
Job Description Summary
The Patient Financial Services Specialist I will perform basic billing
and collection functions that assist in reducing the open receivable for
Shirley Ryan Ability Lab (SRAlab). Ensures compliance with insurance
payer and SRAlab policies.
The Patient Financial Services Specialist I will consistently
demonstrate support of the Shirley Ryan AbilityLab statement of Vision,
Mission and Core Values by striving for excellence, contributing to the
team efforts and showing respect and compassion for patients and their
families, fellow employees, and all others with whom there is contact at
or in the interest of the institute.
The Patient Financial Services Specialist I will demonstrate Shirley
Ryan AbilityLab Core Attributes: Communication, Accountability,
Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and
Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to
Excellence) while fulfilling job duties.
Job Description
The Patient Financial Services Specialist I will:
Obtain and track claim status via online portals and via phone.
Compose and follow up on claim appeals.
Identify, address, submit or process adjustments, over payments and
outstanding balances.
Process billing for all financial classes including Commercial, Federal,
and State plans, as assigned, ensuring confidentiality of patient
billing information and HIPPA compliance.
Review Insurance Explanation of Benefits to facilitate account
resolution.
Allocate co-insurance and deductible appropriately within the Cerner
system
Review and address incoming mail correspondence.
Perform all other duties that may be assigned in the best interest of
the Shirley Ryan AbilityLab.
Reporting Relationships
Reports directly to the Manager, Patient Financial Services
Knowledge, Skills & Abilities Required
Educational level appropriate with what is typically gained through the
acquisition of a High School Diploma.
Minimum 1 year of experience with hospital billing and/or collecting
from health insurance carriers.
Knowledge of governmental billing regulations preferred.
Previous experience with insurance collections, appeals, follow-up in
hospital setting.
Familiar with UB-04 and HCFA 1500 billing regulations.
Ability to build relationships with insurance carriers and
representatives.
Understand business implications of decisions.
Maintain all production standards as outlined for assigned work.
Ability to keep up to date with insurance billing regulation changes as
assigned.
Ability to quickly learn to bill specific financial classes/Payors as
assigned as assigned.
Strong verbal and written communication skills.
Ability to perform basic mathematical functions.
Working Conditions
Normal office environment with little or no exposure to dust or extreme
temperature.
The above statements are intended to describe the general nature and
level of work being performed by people assigned to this classification.
They are not intended to be construed as an exhaustive list of all
responsibilities, duties and skills required of personnel so classified.
Equal Employment Opportunity
ShirleyRyan AbilityLab is an equal opportunity/affirma ive action
employer. All qualified applicants will receive consideration for
employment without regard to sex, gender identity, sexual orientation,
race, color, religion, national origin, disability, protected Veteran
status, age, or any other characteristic protected by law.