Job Description

Overview: Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally, serves as an expert resource for escalated account activities for multiple payer product lines. Responsible for downloading, reviewing, and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments. Represents Carle in external accounts receivable efforts (examples: court appearances, fair hearings, meetings with employers and insurance companies). Assists with mentoring, training and observing staff for quality assurance. Assists with creating training materials and process flows. Participates in projects. Involved in system testing and development. Builds and analyzes management summary reports. Serves as a liaison with third party vendors assisting with collection of accounts receivable. Responsibilities: Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist 2. Assists with developing policies and procedures, training materials and process flows to ensure best practice. Mentors, trains, observes and educates staff for quality assurance. Facilitates maximization of revenue by ensuring correct coding initiative and payer specific guidelines are applied appropriately and claims are appealed as necessary. Assists with daily department flow, ensures appropriate staffing and optimal productivity levels. Handles escalated patient, provider and third party issues in absence of supervisor. Responsible for downloading, reviewing and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments. Monitors age trial balance reports for assigned business line to optimize collection of accounts receivable. Participates in system testing and development related to system upgrades and process improvements. Prepares and submits quarterly Medicare credit balance report. Gathers requested documentation for Medicare ADR, CERT and RAC audits. Assists in evaluation of billing opportunities related to new technology and/or services. Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement. Participates in projects. Conducts team meetings and provides direction to team members. Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc. Qualifications: Certifications: , Education: Associate's Degree, Work Experience: Healthcare business operations Carle Health Company Overview:

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

 

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

Salary Range: The compensation range for this position is $18.33per hour - $29.69per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Job Tags

Full time, Work experience placement, Local area, Shift work,

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