Department:

10413 Enterprise Revenue Cycle - HB Non Government Payer Follow Up

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

Varies

Job Summary

Patient Accounts Coordinator (PAC) works under the immediate supervision of supervisors/ managers in Patient Financial Services (PFS) performing tasks of moderate to difficult complexity relating to hospital or physician accounts. PAC is responsible for data analysis and interpretation throughout all functions of PFS, analysis of aged accounts including remittances to determine reasons for denials, non-payment and overpayment, post/ balance/ correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/ correction of correct coding guidelines, preparation of accounts for appeal, review/ analysis of insurance credit balances and analysis/ movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.

Essential Functions

Completes claims and documents billing activity according to governmental regulations, agency policies and department guidelines.
Reviews trends specific to denials, root cause, and A/R impact.
Reviews insurance credit balances to determine root cause, takes necessary action to resolve account.
Contacts payer and makes inquiries on account status.
Processes and researches electronic remittances and bank deposits.
Works with Specialty Payers and other facilities to ensure compliance and payment. Transfers charges between Patient and Facility accounts as required.
Escalates problem accounts as needed and leads appeal process.
Receives, review and takes actions for all communications within the business office.

Physical Requirements
Requires sitting for long periods of time. Requires bending and may need to lift-up to 10 pounds occasionally.

Education, Experience and Certifications

High school diploma or GED required. One-year experience in related financial services or healthcare business office required. College (bachelor's or associate) degree preferred. Requires the ability to communicate effectively in verbal and written formats. Proficiency in Word, Excel and Outlook preferred. Prior healthcare computer system and specifically Epic billing experience preferred.

Pay Range

$20.40 - $30.60

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.

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