Data Entry Specialist
Vitality Group Inc.
Financial Assessor, Patient Accounting
Northwestern Medicine
full-time
Posted on:
Origin: • 🇺🇸 United States • Illinois
Visit company websiteSalary
💰 $20 - $27 per hour
Job Level
Junior
About the role
- Consistently meet productivity and quality standards in timely resolution of claim edits and reporting
- Ensure timely filing of clean, complete, and accurate claims and outbound compliant claim submission
- Timely follow-up and collection of third party payer receivables
- Denials and appeals follow-up including root cause analysis and overturning denials for payment resolution
- Compliant follow-up correspondence to third party payers (Statements, letters, e-mails, faxes, portal mail)
- Support operations for third party accounts receivables across Managed Care, Commercial, Medicare, Medicaid, Workers Comp, Corporate Accounts, Research, and Specialty AR Accounts
- Perform daily systematic reviews of work lists to complete accounts ready to be worked
- Utilize government, commercial, and regulatory guidelines for collection of outstanding accounts
- Recommend accounts for contractual or administrative write-off with justification and documentation
- Practice HIPAA privacy standards and ensure patient health information privacy compliance
- Contribute to department accounts receivable goals and identify process improvement opportunities
- Follow NMHC policies, Departmental procedures, and regulatory rules (Joint Commission)
- Utilize assigned menus/pathways in hospital mainframe and external software; report software/hardware problems
- Participate in testing for assigned software applications and verify field integrity
- Assist Patient Accounting Operational Coordinator and Team Lead with special projects and attend training/seminars as assigned
Requirements
- High School diploma
- 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
- Learn quickly and meet continuous timelines
- Exhibit behaviors consistent with principles of excellent service
- Knowledge of HIPAA standards
- Call center, telephone work experience or cash collections experience (preferred)
- Knowledge of Epic Systems (preferred)
- Two (2) years progressive work experience in a hospital/physician billing or SBO environment (preferred)
- Detail-oriented with good organizational skills
- Strong time management skills and ability to manage multiple priorities
- Flexibility to perform other tasks in a changing work environment
- High-level problem solving, analytical, and investigational skills
- Excellent internal/external customer service skills
