Patient Billing and Financial Service Representative
LEVEL: Non-Exempt Salary Range: $15.00/hr
REPORTING RELATIONSHIP: Reports to the Patient Financial Service Supervisor
ESSENTIAL JOB FUNCTIONS:
Responds to all inquiries (phone, written correspondence or personal visit) and resolves any issues when appropriate.
Responsible for Billing and insurance collection including claim rejection management, claim denial management, ERA and manual posting.
Explains office operation and financial policy to patients
Collects payments on account from patient and insurance.
Maintains cash, accuracy of cash collected, and accuracy of payment posting and daily, monthly reconciliation.
Researches and analyzes account information, benefit verification and accuracy of billing;
Identifies and resolves recurring problems that delay the submission / resolution of an accurate bill.
Identifies and establishes rules and methods to eliminate back-end denials through a proactive approach to revenue management by correcting errors before they can be denied by the payors.
Ensures claims are received by payers / guarantors in a timely and accurate fashion.
Initiates written and/or verbal inquiries with third party payers, patients and guarantors to secure payments of the balances due.
Ensures reimbursement is maximized through exhausting all internal efforts towards resolution of a claim. Performs due diligence as outlined by department policies and procedures.
Performs other job-related tasks as assigned by the supervisor
Provides department coverage, as needed
Provides supervisor with relevant and timely feedback regarding unresolved issues
Demonstrates dedication to enhancing customer value and satisfaction.
Other job related duties as assigned by the supervisor
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES
High school diploma
Bachelor’s Degree in Health Administration or equivalent preferred
2-3 years in the Health Care field
Electronic Health Record experience, Experience with Nextgen is preferred
Fluent in Spanish and English, both written and verbal preferred
Knowledge of billing practices and clinic policies and procedures
Knowledge of coding and clinic operating police
Requires a strong commitment to working as a team player
Excellent organizational skills
Excellent communication skills, both written and verbal
Ability to multi-task
Must be a self-starter
Maintains a professional appearance and attitude at all times
Ability to meet deadlines regardless of circumstances or pressures
Hours are subject to change. Hours include one or more evenings till 8pm during weekday and Saturday between 8:30am-1pm.
About Illinois College of Optometry
The Illinois College of Optometry (ICO) is one of the world’s leading optometric institutions. The Illinois College of Optometry consists of both the College itself and the Illinois Eye Institute which is the clinical arm of the institution. Located in Chicago’s Bronzeville community, ICO is a leader in the education of optometrists “through excellence in optometric education” to ensure we honor our professional oath to “strive so none shall lack for proper care.” ICO is committed to giving back to our community by serving a vulnerable population of patients within the Illinois Eye Institute. This also serves as a resource-rich opportunity for our students to engage in complex cases throughout the course of their education, while training them to be compassionate providers who respect the dignity of the human person. We’ve been refining and perfecting our curriculum and the art and science of clinical optometry since 1872, to best meet the needs of our students and patients.