Job Information

AdventHealth Asst. Claims Processing-Primary Care-Advent Health Hinsdale in WOODRIDGE, Illinois

Description

YOU ARE REQUIRED TO UPLOAD RESUME, LICENSURE/CERTIFICATION WITH YOUR APPLICATION!

All the benefits and perks you need for you and your family:

  • Benefits from Day One for FT/PT positions

  • Paid Days Off from Day One for FT/PT positions

  • Student Loan Repayment Program for FT/PT positions

  • Career Development

  • Whole Person Wellbeing Resources

  • Mental Health Resources and Support

  • Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time

Shift : Days

Location: Hinsdale, IL

The role you’ll contribute:

Determines and verifies insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment.

The value you’ll bring to the team:

• Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.

• Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.

• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.

• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.

• Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self payers.

• Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices.

• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.

• Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement.

Qualifications

High school diploma or GED required.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Physician Services

Organization: AHMG Great Lakes Region

Schedule: 1 - Day

Shift: AdventHealth Partners

Req ID: 22010370

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.