Advocate Aurora HealthAH

Billing Follow Up Rep I - Medicare Advantage

Advocate Aurora Health is a leading nonprofit integrated health system in the U.S., serving nearly 6 million patients across six states.

Advocate Aurora Health

Employee count: 1001-5000

Salary: 20k-30k USD

United States only

Department:

10312 Revenue Cycle - WI PB Government Billing Operations

Status:Full time

Benefits Eligible:Yes

Hou

rs Per Week:40

Schedule Details/Additional Information:

Hours will be between 6am - 6pm with the ability to choose your start time between 6am - 9am. 8 hour shift with 30 minute lunch break.

This is a remote position.

Will support Medicare Advantage.

MAJOR RESPONSIBILITIES

  • Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.
  • Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources.
  • Ability to timely and accurately communicate with internal teams and external customers (ie; third party payors, auditors, other entity) and acts as a liaison with external third party representatives to validate and correct information.
  • Comprehends incoming insurance correspondence and responds appropriately. Identifies and brings patterns/trends to leaderships attention re:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.
  • Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors.
  • Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.
  • Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.
  • Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH.
  • This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate accountinformation. Approval needed to write off balance’s according to corporate policy. Issues outside normal scope of activity and responsibility.

MINIMUM EDUCATION AND EXPERIENCE REQUIRED

  • Level of Education: High School Diploma or General Education Degree (GED)
  • Years of Experience: Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES (KSA)

  • Must perform within the scope of departmental guidelines for productivity and quality standards.
  • Works independently with limited supervision.
  • Accountable and evaluated to organization behaviors of excellence
  • Basic keyboarding proficiency.
  • Must be able to operate computer and software systems in use at Advocate Aurora Health.
  • Able to operate a copy machine, facsimile machine, telephone/voicemail.
  • Ability to read, write, speak and understand English proficiently.
  • Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
  • Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
  • Ability to communicate well with people to obtain basic information (via telephone or in person).

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Pay Range

$20.05 - $30.05

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Apply now

Please let Advocate Aurora Health know you found this job on Himalayas. This helps us grow!

Apply now

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Entry-level

Salary

Salary: 20k-30k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Advocate Aurora Health

Learn more about Advocate Aurora Health and their company culture.

View company profile

Advocate Aurora Health is committed to redefining healthcare delivery to enhance health outcomes while making care more accessible and affordable for everyone. With a focus on generating positive social impact, the organization aims to advance population health and address health inequities while striving for carbon neutrality by 2030.

As one of the largest non-profit integrated health systems in the U.S., Advocate Aurora Health serves nearly 6 million patients across several states, operating over 1,000 sites of care and employing around 150,000 individuals. The organization collaborates with leading educational institutions to foster the training of new leaders in healthcare, affirming its dedication to equitable care for all.

Claim this profileAdvocate Aurora Health logoAH

Advocate Aurora Health

View company profileVisit advocateaurorahealth.org

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

12 remote jobs at Advocate Aurora Health

Explore the variety of open remote roles at Advocate Aurora Health, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Advocate Aurora Health

Remote companies like Advocate Aurora Health

Find your next opportunity by exploring profiles of companies that are similar to Advocate Aurora Health. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 30,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan