All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support

Our promise to you:

Joining UChicago Medicine AdventHealth La Grange is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth La Grange is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time Monday-Friday 8:30a-5p

Location: 1325 Community Memorial Drive, La Grange, IL

The role you'll contribute:

Responsible for determining and verifying insurance coverage and coordination of benefits from all sources for the assigned area. This position ensures proper, adequate, and timely billing to secure prompt payment. Additionally, this role reviews and processes insurance claims to confirm coverage and benefits. In addition, this position communicates with insurance providers to resolve any discrepancies or issues. Responsibilities for this role include maintaining accurate records of insurance information and billing activities, ensuring compliance with relevant regulations and policies. This role contributes to the financial stability of the organization by optimizing insurance reimbursements and minimizing delays in payment.

The value you'll bring to the team:

• Confirms insurance coverage and determines the necessity for pre-authorization, obtaining authorization for scheduled procedures.
• Determines financial responsibility for services to be provided and notifies patients and/or practitioners of any services not authorized by insurance.
• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Prepares and completes claims for commercial insurance companies, third-party organizations, and government or self-payers.
• Researches, analyzes, and reconciles Medicare/Medicaid billing and reimbursement practices.
• Maintains detailed documentation in the patient account record of all billing activities and claims processed as part of the daily claims reconciliation process.
• Consults with appropriate parties to resolve unbilled claims and reviews recent accounts for proper billing practices and reimbursement.
• Ensures timely acceptance of patient transfer and placement, communicating patient updates to physicians with appropriate triage of urgency.
• Completes and documents patient assessments, treatments, medications, and reactions per department protocols and policy.
• Adheres to safety requirements while transporting patients and maintains thorough and accurate information in the Right CAD system for department statistics.
• Completes the QA process on chart reviews for patient safety and improved outcomes.
• Performs other duties as assigned.

Qualifications

The expertise and experience you'll need to succeed :

• High School Grad or Equiv Required
• Medical office billing experience preferred

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Patient Financial Services

Organization: UChicago Medicine AdventHealth La Grange

Schedule: Full-time

Shift: 1 - Day

Req ID: 25038336

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.