BILLING & FOLLOW - UP REP (PMG) Facility Presence Medical Group - Central Illinois & West Suburbs Department PSC REVENUE CYCLE Schedule Full - time Shift Day shift Hours 8:00 am - 4:30 pm Location Mokena, IL Req Number 123069 Job Details This position is located in Bolingbrook, IL The Billing and Follow Up Rep will be responsible for processing and follow - up of all assigned accounts. Ensure proper submission and adjudication on all claims submitted to third party carriers/intermediaries and respond to all inquiries according to PMG/CBO policy and procedures. Essential Job Duties include, but are not limited to: Ensure all claims are transmitted within the PMG/CBO targets and goals by gathering and entering appropriate data. Provides fee dback to management regarding any issues or repetitive errors that may be encountered during claim review and submission. Will review system generated work list, reports and/or aged trial balances to resolve accounts which have not been paid in the appropr iate time frame, based on specific third party payor contracts and guidelines. Contact the assigned payor representatives to determine when payment will be made and if any other information is required to adjudicate the claim. The rep will review payment denials and discrepancies identified through EOB, Remittance Advices or Payor correspondence and take appropriate action to correct these accounts. Must ensure compliance with all state and federal billing regulations and report suspected compliance issues to their respective Manager/Supervisor or Compliance Manager. Requirements: Must have knowledge of respective insurance billing regulations and guidelines. Must be professional with excellent interpersonal and verbal communication skills. High School Dip loma is required. Additional Preferred Qualifications: Microsoft Office and Meditech experience preferred. Experience working within Patient Accounting and/or business office environment Billing and/or Collections experience, a plus Apply o nline at careers.pre sencehealth.org/jobDescription.cfm?jobId=265981
Posted on: Wed, 25 Sep 2013 15:51:17 +0000
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