Financial Assessor – Patient Accounting
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Job Description
Financial Assessor managing claims, denials, and payer receivables for Northwestern Medicine, a healthcare provider. Supporting accurate billing, collections, compliance, and patient account resolution.
Responsibilities:
- Resolve claim edits and report candidates for billing
- Submit compliant, clean, complete, and accurate claims within timely filing requirements
- Follow up on and collect third-party payer receivables
- Follow up on denials and appeals, perform root cause analysis, and pursue payment resolution
- Correspond with third-party payers regarding outstanding accounts receivable
- Support third-party accounts receivable operations across managed care, commercial, Medicare, Medicaid, workers’ compensation, corporate, research, and specialty accounts
- Review work lists daily and complete accounts ready to be worked
- Apply government, commercial, and regulatory collection guidelines
- Recommend contractual or administrative write-offs with justification and documentation
- Maintain HIPAA privacy compliance
- Contribute to department accounts receivable goals
- Identify customer, system, and process improvement opportunities
- Follow organizational, departmental, emergency preparedness, Joint Commission, and regulatory procedures
- Use hospital mainframe, reporting software, external applications, and assigned hardware; report problems to supervisors
- Participate in assigned software testing and verify field integrity
- Assist with special projects and other assigned duties
- Attend assigned and approved training and seminars
- Provide customer service and assistance to patients, guarantors, and internal and external contacts
- Support the Patient Accounting Operations Coordinator and Team Lead Financial Assessor
Requirements:
- High school diploma required
- One year related work experience or college degree
- Ability to perform mathematical calculations
- Basic knowledge of medical terminology and billing practices
- Extensive experience and knowledge of PC applications, including Microsoft Office and Excel
- Ability to learn quickly and meet continuous timelines
- Behaviors consistent with excellent service principles
- Preferred: two or more years of college or college degree
- Preferred: call center, telephone work, or cash collections experience
- Preferred: knowledge of Epic Systems
- Preferred: two years of progressive hospital/physician billing or SBO experience
- Detail-oriented with good organizational skills and ability to work independently
- Strong time management skills and ability to manage multiple priorities and heavy workload in a high-stress atmosphere
- Flexibility to perform other tasks as needed
- High-level problem-solving, analytical, and investigative skills
- Excellent internal and external customer service skills
- Working knowledge of physician and facility billing and follow-up
- Understanding of insurance rules and regulations, especially Medicare and Medicaid
- Knowledge of HIPAA standards
- Excellent oral and written communication skills
- Background check required for new hires and certain internal transfers
Benefits:
- Competitive benefits
- Tuition reimbursement
- Loan forgiveness
- 401(k) matching
- Lifecycle benefits
- Sign-on bonus may be offered, subject to eligibility
- Remote work
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