EDUCATION, EXPERIENCE AND CERTIFICATIONS

High school diploma or GED required. College degree preferred. One-year experience in related financial services or healthcare setting preferred. Requires the ability to communicate effectively in verbal and written formats preferred. Proficiency in Word, Excel and Outlook preferred. Prior healthcare and specifically Epic billing experience preferred.

• Clears edits, contacts payers and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Advocate Health guidelines and timeliness standards.
• Receives and follows up on incoming correspondence and telephone inquiries regarding information for payment.
• Reviews & corrects billing claim edits.
• Ensures completion of all manual cash posting according to departmental policy.
• Enters adjustments to account balances when appropriate.
• Reviews expected reimbursement as compared to actual.
• Assists in reviewing/ resolving patient due credit balances.
• Receives, review and takes actions for all communications within the business office