The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, bankruptcies, risk management and retro adjudication. Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party payers. Acts as a billing and reimbursement expert for a defined payer product line.
Qualifications Education: High School diploma or G.E.D Work Experience Experience RequirementsPossesses the “other knowledge and skills” of the Accounts Receivable Representative 1. Additionally, has the ability to critically think and solve complex problems and issues with minimal or no supervision.
Responsibilities Must be able to perform essential job functions of Accounts Receivable Representative 1.Handles complex edits, correspondence and advanced level work queues such as but not limited to retro review, EOB balancing, 72 hour bundling rule, consecutive account review and credit adjustment review, etc.Handles escalated account activities such as but not limited to healthcare liens, settlement requests, bankruptcies, bad debt, risk management, estate claims, fraud cases and attorney requests, etc.Handles escalated appeals.Identifies payer and system issues to initiate project requests for process improvements and system optimization.Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.Accountable for administering the Carle Financial Assistance Program, Illinois Uninsured Discount Program, Prompt Pay Discount Program, etc.Directs patients to the appropriate resources to help obtain benefits from outside services. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected]. Compensation And Benefits The compensation range for this position is $16.73per hour - $27.1per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits....your earned wages before payday Debt-free education opportunities earn your... ...certifications with no out-of-pocket costs Paid training well set you up for success from day... ...as a plasma donor screener and perform phlebotomy to support plasma center operations....
...access to physical therapy and related rehabilitation services. Most work is completed remotely, with occasional onsite meetings, training,... ...This role is ideal for candidates with experience in scheduling, home care coordination, disability support, or customer service who...
Pizza CookHospitality Starts Here:Welcome to The Indigo Road Hospitality Group (IRHG), where hospitality is more than a job; it's a family, a lifestyle, and an exciting journey. We believe that by taking care of you, you'll best take care of our guests. It's working...
...Window, we needBrandAmbassadors who thrive on independence, embrace rejection, and turn opportunities into wins. Youll work inside Costco stores, engaging shoppers and setting appointments and youll do it your way, with your energy, your style, and your drive....
...variety of job opportunities might be available including Technical Advisor - Software Development. World Class Benefits: At Halliburton, we're committed to providing you and your family with a comprehensive and affordable benefits package - which means we offer...