Accounts Receivable Specialist (CBO Rep) - PFS - Full Time - Full-time

div h4Job Details/h4 divstrongJob Location/strong: nbsp;nbsp;nbsp;Gibson City, IL/div divstrongPosition Type/strong: nbsp;nbsp;nbsp;Full Time/div divstrongSalary Range/strong: nbsp;nbsp;nbsp;$16.00 - $23.00 Hourly/div /div h4Description/h4pGENERAL SUMMARY/p pThe CBO Representative is responsible for accurate and timely billing and follow-up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved./p pGIBSON AREA HOSPITAL amp; HEALTH SERVICES MISSION STATEMENT/p pTo provide personalized, professional healthcare services to the residents of the Communities we serve./p pPRINCIPLE DUTIES AND RESPONSIBILITIES/p p1.nbsp;nbsp; nbsp;Run required daily reports for preparation of billing follow-up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties.br / nbsp; nbsp; nbsp; nbsp;nbsp;br / 2.nbsp;nbsp; nbsp;Make Outgoing amp; Receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims./p p3.nbsp;nbsp; nbsp;Ensures appropriate, accurate/timely follow-up to all insurance companies based on established policies and procedures./p p4.nbsp;nbsp; nbsp; Review patient account information received from admissions and out nbsp;nbsp;nbsp; nbsp;patient registration. nbsp;Identify any missing information and determine what nbsp;nbsp; nbsp;avenue to take to insure timely follow-up./p p5.nbsp;nbsp; nbsp; Adequately responds to billing questions and provide clarification to nbsp;nbsp; nbsp;nbsp;nbsp; nbsp;customers./p pnbsp; nbsp; nbsp;6. nbsp; Develops and maintains appropriate communication with insurance nbsp;nbsp; nbsp;payers, outside agencies and internal departments.br / nbsp; nbsp; nbsp; nbsp; nbsp; nbsp; nbsp;br / 7.nbsp;nbsp; nbsp; Appropriately refers all non-routine issues to management for clarification.br / nbsp;br / 8. nbsp; Accountable for updating and preparing correspondence to customers nbsp;nbsp; nbsp;and insurance payers as necessary.br / nbsp;br / 9.nbsp;nbsp; nbsp; Effectively communicate to customers needs with the appropriate level of nbsp;urgency./p p10.nbsp;nbsp; nbsp;Process and scan all EOBrsquo;s/Correspondence received within 2 business days./p p11.nbsp;nbsp; nbsp;Re-bill and reprocess all Denials and Rejections ensuring all avenues are explored to resolve and issues with Insurance Payers.nbsp;/p p12.nbsp;nbsp; nbsp;Take incoming calls from patients regarding their insurance and billing./p p13.nbsp;nbsp; nbsp;Process all walk-ins/p p14.nbsp;nbsp; nbsp;Resolution of Credit Balance reports Monthly.br / nbsp;nbsp; nbsp;br / 15.nbsp;nbsp; nbsp;Ability to work with fellow staff in a professional, courteous and respectful manner at all times./p p16.nbsp;nbsp; nbsp;All other duties assigned by Director of PFS or Executive Director of Revenue Cycle./p p17.nbsp;nbsp; nbsp;Work the denial program daily.br / nbsp;/p h4Qualifications/h4brpPHYSICAL REQUIREMENTS/p p1.nbsp;nbsp; nbsp;Work requires knowledge of PCrsquo;s keyboard, calculations, copy machine, printers and other office equipment./p p2.nbsp;nbsp; nbsp;Light level of physical effort required for a variety of physical activities to include lifting, standing and sitting at a workstation for up to four hours at a time. nbsp;nbsp; nbsp;/p pPhysical strength to perform the following lifting tasks:/p pbull;nbsp;nbsp; nbsp;Floor to waist - 10 poundsbr / bull;nbsp;nbsp; nbsp;Waist to shoulder - 10 poundsbr / bull;nbsp;nbsp; nbsp;Shoulder to overhead - 10 poundsbr / bull;nbsp;nbsp; nbsp;Carry 10 pounds for 15 feet/p p3.nbsp;nbsp; nbsp;Work requires visual acuity necessary to observe and obtain information and use documentation./p p4.nbsp;nbsp; nbsp;Auditory acuity to hear others for purposed of fluent communication./p pREPORTING RELATIONSHIP/p pnbsp; nbsp; nbsp;Reports to the Director of Patient Financial Services./p pEDUCATION, KNOWLEDGE AND ABILITIES REQUIRED:/p p1.nbsp;nbsp; nbsp;General knowledge of mathematics and accounting principles./p p2.nbsp;nbsp; nbsp;Previous experience with billing forms required for different insurance plans./p p3.nbsp;nbsp; nbsp;Knowledge of Medical Terminology./p p4.nbsp;nbsp; nbsp;Familiar with the Legal and Ethical Compliance in charging and billing. nbsp; nbsp;nbsp;/p p5.nbsp;nbsp; nbsp;Previous experience in the policy and procedures of billing./p p6.nbsp;nbsp; nbsp;Requires analytical skills to evaluate claims for errors in billing and payment from payers./p p7.nbsp;nbsp; nbsp;Knowledge of patientrsquo;s rights./p p8.nbsp;nbsp; nbsp;Good communication skills to assist patients with billing questions and concerns./p p9.nbsp;nbsp; nbsp;AAHAM CRCS certification preferred./p pbr / INFECTION EXPOSURE RISK LEVELbr / Category 3 - No Risk - Your job does not involve exposure to blood, body fluids or tissue. nbsp;You do not perform or help in emergency medical care or first aid as part of your job.nbsp;br / WORKING CONDITIONS/p p1.nbsp;nbsp; nbsp;Works in an office where there are relatively few discomforts due to dust or dirt. nbsp;There is some exposure to print noises./p p2.nbsp;nbsp; nbsp;Will work in an office with co-workers where traffic may be constant, subjecting your work to interruptions, which can produce stress and fatigue.nbsp;br / nbsp;/p