Billing Follow Up Representative
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Billing follow-up representative reviewing claims and securing reimbursement for Advocate Health, a nonprofit integrated U.S. health system. Resolving insurance issues and maintaining revenue-cycle documentation.
Responsibilities:
- Independently review accounts and apply billing follow-up knowledge for insurance payors to ensure proper and maximum reimbursement
- Use multiple systems to resolve outstanding claims according to compliance guidelines
- Perform prebilling, billing, and follow-up activity on open insurance claims
- Obtain necessary documentation from various resources
- Communicate with internal teams and external customers, including third-party payors and auditors
- Liaise with external third-party representatives to validate and correct information
- Comprehend incoming insurance correspondence and respond appropriately
- Identify and escalate patterns and trends related to coding and compliance, contracting, claim form edits/errors, and credentialing
- Monitor insurance payer updates, changes, and single case agreements
- Assist management with recommendations for implementing edits and alerts
- Enter and update patient and insurance information in the patient accounting system
- Appeal claims to ensure contracted amounts are received from third-party payors
- Maintain KPI standards for assigned payers
- Compile information for referral of accounts to internal or external partners
- Maintain clear and accurate online documentation of billing and follow-up activity for each account
- Understand and follow Advocate Aurora Health and departmental collections policies and procedures
- Use Advocate Aurora Health software systems proficiently
- Refer unusual, unreasonable, inaccurate, or out-of-scope account issues to the supervisor
- Obtain approval for balance write-offs according to corporate policy
Requirements:
- High School Diploma or General Education Degree (GED)
- Typically requires 1 year of related experience in a medical/billing reimbursement environment, or equivalent combination of education and experience
- Basic keyboarding proficiency
- Ability to operate computers and software systems used 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 explanation of benefits (EOB), operating instructions, and procedure manuals
- Ability to work independently with limited supervision
- Ability to meet departmental productivity and quality standards
- Preferred but not required knowledge of medical terminology, coding terminology (CPT, ICD-10, HCPC), and insurance/reimbursement practices
- Ability to communicate well with people to obtain basic information
Benefits:
- Benefits eligible
- Option to flex schedule after 90 days
- Paid Time Off programs
- Medical, dental, vision, life, and Short- and Long-Term Disability benefits
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match
- Other financial wellness programs
- Educational Assistance Program
- Opportunity for annual increases based on performance
- Premium pay such as shift and on-call pay, based on role
- Incentive pay for select positions
Similar Jobs
Senior Dermatology Field Representative – Mecklenburg-Vorpommern Region
Dermatology field representative promoting AbbVie medicines to specialist physicians across Mecklenburg-Vorpommern. Managing market analysis, account plans, events, and regional sales objectives.
Mortgage Representative
Mortgage Representative supporting homeowners insurance customers and mortgage companies for Porch Group, a home-services software and insurance platform. Handling policy documents, coverage verification, payments, and high-volume customer calls.
Senior Medical Representative
Senior Medical Representative promoting AbbVie eye-care products among healthcare professionals. Gathering market insights, reporting adverse events, and executing compliant regional plans.
Senior Medical Representative
Senior Medical Representative promoting AbbVie immunology products in Chongqing. Building healthcare-professional relationships and supporting compliant medical promotion.
Senior Medical Representative
AbbVie medical representative promoting oncology products and building healthcare-professional relationships in Kunming, China. Collecting market insights, executing compliant marketing plans, and reporting adverse events.
Senior Professional Medical Representative
Senior Medical Representative promoting AbbVie’s eye-care products and medical information. Building healthcare-professional relationships and supporting compliant market activities in Guiyang, China.
Senior Professional Services Representative
Application Consultant implementing and optimizing PowerSchool’s BusinessPlus ERP for education organizations. Configuring Finance and Procurement modules, training clients, and supporting post-go-live success.
Senior Facilities Representative
Senior Facilities Representative managing workplace operations, security, vendors, and facilities services. Supporting PowerSchool’s cloud-based K-12 education software ecosystem.
Senior Professional Services Representative
Application Consultant implementing and optimizing BusinessPlus ERP for PowerSchool’s cloud-based K-12 education software customers. Configuring finance modules, leading client implementations, training users, and providing post-go-live support.
Senior Facilities Representative
Senior Facilities Representative managing workplace operations, vendors, security, and facilities services for PowerSchool’s cloud-based K-12 education software.
Senior Professional Services Representative
Application Consultant implementing and configuring PowerSchool’s cloud-based K-12 ERP solutions. Training school districts, supporting go-live, and optimizing finance, payroll, HR, and procurement processes.
Service Dispatch Representative
Service dispatcher coordinating technician schedules, field jobs, and outage responses for Qualfon. Communicating service updates while working 100% from home in Texas.
Claim Representative II
Remote liability claims representative handling U.S. auto casualty claims for Ryder. Investigating property damage and bodily injury exposures, litigation, reserves, and insurers.
Enrollment Representative
Enrollment Representative guiding prospective students into Cengage’s continuing education and career training programs. Qualifying leads, counseling learners, and driving enrollment revenue.
Senior Specialty Representative – Primary Care
Field sales representative promoting Amgen’s Repatha to primary-care professionals across Southern California. Managing territory accounts, clinical product education, reimbursement issues, and sales targets.
Specialty Representative, GI Care
Specialty Representative driving AbbVie’s GI-care pharmaceutical sales in Toms River. Managing healthcare accounts, executing brand strategy, and building provider relationships.
Medical Representative – Oncology
Oncology sales representative driving Regeneron’s life-changing medicines across Tokyo-area healthcare accounts. Developing territory plans, delivering clinical information, and growing pharmaceutical adoption.
Specialty Representative, Dermatology
Dermatology specialty representative driving AbbVie immunology sales across Michigan. Managing physician accounts, executing brand strategy, and building healthcare-provider relationships.
Specialty Representative, Dermatology
Dermatology specialty representative driving immunology sales for AbbVie’s innovative medicines. Managing Michigan territories, provider relationships, brand strategy, and pharmaceutical sales performance.
Customer Inquiry Representative
Remote customer billing representative resolving healthcare account and payment inquiries for Accendra Health. Researching balances, processing payments, adjustments, refunds, and insurance rebilling.