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FSR 2 PB Collections

Company: Rush University Medical Center
Location: Chicago
Posted on: June 25, 2022

Job Description:

Job Title: FSR 2 PB Collections
Department:
Shift: 1st
Specialty: Finance
Job Number: 2022-2306
Date Posted: 06/21/2022
Position Type: Finance/Accounting

Job Qualifications:

Rush University Medical Center

FSR 2 PB Collections




The Financial Representative 2 works within the Health Care Finance Department reporting to the Supervisor of Revenue Cycle for Billing and Collections. This individual will work proactively with insurance payers to monitor and resolve payer claim status responses, seek payment, and resolve billing and collection rejection/ denial issues for the assigned patient claims in a timely and compliant manner. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.
Job Responsibilities:

  • Proactively work with insurance payers to seek payment or resolve claim status and denial issues in a timely and compliant manner with the goal of improving cash collections and reducing aged accounts receivable.
  • Sound understanding of operational processes as it pertains to Revenue cycle.
  • Possess a sound understanding of billing and collections processes and eligibility requirements of private and governmental payers.
  • Possess a sound understanding of billing and collections processes for private and governmental payers.
  • Perform research on denied claims to resolve coding, duplicate, additional documentation required, and other denials and reconsiderations.
  • Identify, track/trend issues and bring possible resolutions to appropriate party.
  • Autonomous in day-to-day completion of tasks and management of special projects.
  • Escalate accounts to Supervisor when accounts cannot be resolved within 60 days.
  • Adhere to Rush Mission, Vision and ICARE values.
  • Attend department & staff meetings, and participates in team building meetings and / or events.
  • Follow and supports all of RUSH and Department policies and procedures.
  • Communicate effectively with peers and internal and external customers.
  • Exhibit superb written and verbal skills; document clear steps taken and anticipated resolution on accounts.
  • Develop collaborating relationships with payers and departments throughout the organization.
  • Proactively challenge processes for improvement opportunities to enhance and streamline operations in daily work and within the department
  • Identify and present issues and recommendations to management.
  • Support staff training on job related processes.
  • Monitor the applicable websites (i.e. CMS/NGS/HFS/Payer) for any updates to ensure that our accounts are compliant with Federal, State and Payer requirements.
  • Complete Rush Corporate Compliance Training (yearly).
  • Other duties as assigned.Required Job Qualifications:

    • Must have a high diploma or GED equivalent.
    • Minimum 2 years of previous experience in hospital/professional billing and collections.
    • Familiarity with medical terminology and coding requirements.
    • Proficient in MS Office Products with the ability to prepare basic Excel spreadsheets.
    • Participation in training sessions to maintain awareness and knowledge of evolving heath care policy changes.Preferred Job Qualifications:

      • 2+ years college or college degree
      • Knowledge of Epic Systems


        Competencies:

        • Must have superb oral and written communication skills in order to work effectively with a diverse number of internal and external contacts.
        • Consistently exercises advanced thinking skills and uses logic and reasoning to assess and resolve problems.


          Disclaimer:

          The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

          Rush is a not-for-profit health care, education and research enterprise comprising Rush University Medical Center, Rush University, Rush Oak Park Hospital and Rush Health. Rush University Medical Center is a four time Magnet facility located in Chicago, IL www.rush.edu Rush University is home to one of the first medical colleges in the Midwest and one of the nation's top-ranked nursing colleges, as well as graduate programs in allied health, health systems management and biomedical research. RUMC offers a competitive salary, outstanding benefits & the professional advantages of an environment that supports your development & recognizes your achievements. Rush University Medical Center is an Equal Opportunity Employer that welcomes and encourages all applicants to apply regardless of age, race, sex, religion, color, national origin, disability, veteran status, sexual orientation, gender identity and/or expression, marital or parental status, ancestry, citizenship status, pregnancy or other reason prohibited by law.

Keywords: Rush University Medical Center, Chicago , FSR 2 PB Collections, Accounting, Auditing , Chicago, Illinois

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