Patient Financial Service Account Rep 1

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and familyfriendly design. As the largest pediatric provider in the region with a 140year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

K.S.A.s:

1. High school graduate required; BS BA or CHAA preferred.
2. Minimum 6 months experience in healthcare hospital clinics or physician office environment preferred.
3. Knowledge of ICD10 coding medical terminology third party billing and collections and managed care requirements.
4. Excellent communication/listening skills.
5. Ability to make quick accurate decisions on a daily basis.
6. Ability to handle stressful situations.
7. Proficient computer skills and aptitude Microsoft Office mandatory Advanced Excel preferred.
8. Substantial interpersonal skills sufficient to work effectively with pediatric patients families physicians nursing other allied health professionals insurance professionals and administration.
9. Problem solving ability and able to handle multiple priorities.
10. Thorough knowledge of patient accounting third party payer procedures governmental regulations and managed care contracting to be effectively proactive in the billing and collection process and to respond to inquiries on patient accounts in a customer satisfaction manner.

Job Duties:

1. Create and submit all billing to Government entities private insurance payers and families; consistent with Federal State and insurance specific requirements.
2. Resolve all assigned claim edits generated by Epic the clearinghouse or the payor. Develop strategy to reduce claim edits by collaborating with management and other departments.
3. Identifies Registration Demographic and Insurance information problems makes all necessary updates. This includes eligibility verification and referral retrieval.
4. Resolve assigned denials and variances accurately determining the root cause and collaborating to reduce the denial or variance.
5. Ensure that all claims issued timely and are received by the payers.
6. Process assigned inbound correspondence and telephone inquiries from patients and insurance carriers. Promptly responding in writing or verbally. This includes researching and processing of charge revisions corrections adjustments discounts associated with disputes.
7. Process internal payment transfers between Hospital and Patient Billing process refund requests for families governmental and thirdparty payors.
8. Interacts with Health Information Management Case Management on claim submission issues which can include obtaining the appropriate Medical Record or validation of coding.
9. Other job functions as assigned.

Education

Pay Range

At Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO) Paid Holidays and Paid Parental Leave

403(b) with a 5 employer match

Various voluntary benefits:

• Supplemental Life AD&D and Disability

• Critical Illness Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Childrens facilities

• Discount purchasing program

Theres a Place for You with Us

At Lurie Childrens we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds skills and viewpoints recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging and allyship. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.

Lurie Childrens and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.

Support email: