Fin Assessor SBO Patient Acctg

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• Administrative and Clerical, Chicago, Illinois, United States

• Career Areas

• Growth and Expansion

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year ($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

• Timely resolution of all claim edits and management & reporting of candidates for bill.
• Outbound compliant bill submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims.
• Timely follow-up and collection of third party payer receivables and tracking of third party yields.
• Denials and Appeals resolution including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
• Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.).
• Adhere to all regulatory billing requirements reporting any suspected breaches or concerns to the Patient Accounting Manager and Corporate Integrity & Compliance (HIPAA, Patient Privacy, and ACA Consumer Protections).
• Consistently meet the current productivity and quality standards in edit resolution, account follow-up, payment processing activities including payment posting, reconciliation and refunds, handling high volume of phone calls, including wrap up time between calls, ready status/availability for calls, and timely handling of patient concerns and correspondence, while maintaining the Patient First philosophy.
• Receive and direct the public, in person or by telephone, in a professional and courteous manner.
• Answer patient inquiries with the objective of resolving the patient issue in one call or directing inquiries to the appropriate representative if the issue cannot be resolved immediately.
• Enter appropriate documentation of all account activity.
• Provide clerical support to the management and supervisory staff as needed.
• Manage early-out vendor return accounts as outlined in the NMHC Self-Pay Collection Procedure.
• Coordinate communication with early-out vendor staff regarding patient accounts, concerns, and complaints as outlined in the NMHC Self-Pay Collection Procedure.
• Enter appropriate documentation of all new insurance information to restart the billing and follow-up cycle as appropriate.
• Respond to patient, payor, and employee inquiries regarding hospital and professional balances, financial assistance applications, and both hospital and clinics visits as they relate to the SBO.
• Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts.
• Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
• Seamlessly transition patient calls to and from early out vendor staff as required.
• Provide individual contribution to the overall team effort of achieving the department accounts receivable goals.
• Identify opportunities for customer, system and process improvement and submit to management.
• Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
• Follow the NMHC general Policy and Procedures, the Departments Policy and Procedures, and any Emergency Preparedness Procedures.
• Follow JCAHO and outside regulatory agencies mandated rules and procedures.
• Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
• Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
• Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
• Participate in the testing for assigned software applications, including verification of field integrity.
• Assist the Operational Coordinator and Team Lead Financial Assessor with special projects and other duties as assigned, as necessary.
• Attend training and seminars as assigned and approved by the Customer Service Coordinator.

• High school diploma.
• 1 year of related work experience or college degree.
• Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid.
• Knowledge of HIPAA standards.
• Ability to perform mathematical calculations.
• Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices.
• Basic knowledge of medical terminology and billing practices.
• Extensive experience and knowledge of PC applications, including Microsoft Office and Excel.
• Ability to:

• Learn quickly and meet continuous timelines.
• Exhibit behaviors consistent with principles of excellent service.
• Demonstrate and maintain competency as required for job title and the unit/area(s) of assignment.
• Exhibit behaviors consistent with standards of performance improvement and NMHC values.

• 2 + years of college or college degree.
• Call center or telephone work experience.
• Knowledge of Epic Systems.
• Two (2) years of progressive work experience in a hospital/physician billing or SBO environment.
• Detail-oriented, good organizational skills, and ability to be self-directed.
• Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
• Flexibility to perform other tasks as needed in an active work environment with changing work needs.
• High-level problem solving, analytical, and investigational skills.
• Excellent internal/external customer service skills.
• Excellent communication skills to include oral and written comprehension and expression.

Northwestern Medicine