Financial Services Rep 1

Job Description

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Revenue Cycle Enterprise Svcs

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $17.63 - $27.77 per hour

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:

The Financial Services Representative 1 manages assigned open receivable accounts for Medicare. The positions responsible for securing reimbursement, and performing actions such as re-bills, debit & credit, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits. The Financial Services Representative 1 is also responsible for responding to internal audits. The ultimate goal of this position is to decrease receivables and increase quality and productivity. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Other information:

Required Job Qualifications:

• High School diploma or GED equivalent

• 1 year of experience.

• Two years of experience in health care or hospital billing with an understanding of coverage eligibility requirements for Medicare.

• Able to enter and retrieve data within FSS0/ASF

• Familiar with Nebo's eCare billing editors such as Classic and CMS.

• Strong familiarity with medical terminology and patient financial matters.

• Specific knowledge of Microsoft Office in order to design, implements, tracks, and maintain moderately complex statistical information.

• Strong analytical skills including statistical, mathematical, and organization abilities necessary for accurate reporting to payers and management.

• Strong interpersonal skills are required for communication of finance-related issues to management and ancillary departments.

• Sound understanding of billing processes and eligibility requirements of private and governmental payers.

• Able to work independently.

• Good time management skills and possess the ability to multi-task.

• Good oral and written communication skills in order to work effectively with a diverse number of internal and external contacts.

• Previous experience in a hospital setting, familiarity with medical terminology and patient fiscal matters.

Preferred Job Qualifications:

• Prior experience using Epic for Hospital Billing.

Responsibilities:

1. Actively manage account balances to ensure that we are compliant with Federal and State regulatory requirements and evaluate each account to ensure that each account balance is processed correctly.

2. Follow up of claims to the appropriate payer for reimbursement: Work directly with various departments to insure the charges are properly credited and / or debited.

3. Develop, manage, and maintain various electronic documents used to manage these projects.

4. Develop and report status of the project weekly.

5. Eagerly accept challenging assignments.

6. Collaborate with other departments, physician offices, and other clinical areas to ensure charges and diagnosis are consistent and that the financial information being used is correct during the billing process.

7. Communicate constructively with patients and other Rush departments to achieve mutually positive business and service outcomes.

8. Monitor the CMS, National Governmental Services (NGS), Illinois Healthcare and Family Services (HFS), website for any updates to ensure that our accounts are compliant with Federal and State requirements.

9. Work within your team to insure the team has all related job responsibilities.

10. Develop, implement, & monitor system enhancements.

11. Develop and communicate constructive feedback / issue solutions for problems as discovered.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Position Financial Services Rep 1

Location US:IL:Chicago

Req ID 29678