Billing, Claims & Reimbursement Specialist
Join the REMARKABLE team at SwedishAmerican! As a division of UW Health, we offer patients local access to many world-class specialists right here in Rockford, Illinois and surrounding communities.
We are seeking a Billing, Claims & Reimbursement Specialist to:
Join our world-class team of doctors, nurses and other health care professionals in providing everything from preventive health care to highly specialized programs.
Provide quality care in a compassionate patient- and family- centered environment.
Be responsible for a portfolio of insurance accounts receivable and be engaged in pro-active billing and collection of outstanding balances, including accurate and timely filing of claims and processing of appeals, with government or third-party payers.
Ensure correct and appropriate information is on a claim and will promptly handle resolution of outstanding balances, which involves working with SwedishAmerican internal and external customers (e.g. third party payers, estate representatives, attorneys, clinicians, employers, and SwedishAmerican employees).
This position represents SwedishAmerican and the Revenue Cycle team by adhering and upholding the SwedishAmerican iCare values and SwedishAmerican Service Excellence Standards of Behavior in providing the highest quality service to our customers. They will be friendly, knowledgeable, flexible, and reliable. They will listen to, anticipate, recognize, and satisfy our customers' needs. We will improve our collections while ensuring the highest level of satisfaction, keeping our promises and commitments, and demonstrating our commitment through respect, knowledge, responsiveness, and courtesy. They will support their co-workers, engage in positive interactions, demonstrate friendliness by smiling and making eye contact when greeting all customers, provide helpful assistance in anticipating and responding to the needs of our customers and staying calm under pressure to deal effectively with difficult people.
High school diploma or GED preferred.
A thorough understanding of often complex contracts, third party payer requirements, government regulations, and in-house computer applications for billing and accounts receivable.
At least 2 years experience in healthcare or related field with emphasis on insurance billing and insurance claim follow up processes.
Excellent customer service, interpersonal and organization skills.
Ability to use good judgments in demanding situations.
Ability to react to frequent changes in duties and volume of work.
Effective communication skills.
Ability to listen empathetically.
Ability to logically and accurately organize details.
Ability to manage multiple tasks with ease and efficiency.
Self-starter with a willingness to try new ideas.
Ability to work independently with minimal supervision and be result oriented.
Positive, can-do attitude coupled with a sense of urgency.
Effective interpersonal skills, including the ability to promote teamwork.
Strong problem solving skills.
Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders.
Excellent computer operating skills (keyboard, mouse).
Ability to use various computer applications including EPIC and MS Office.
Basic math skills and knowledge of general accounting principles.
Maintains confidentiality of sensitive information.
Broad knowledge of healthcare business office practice and principles.
Knowledge of medical and insurance terminology, EOBs, CPT, ICD coding structures, and billing forms (UB, 1500).
Knowledge of Business Office policies and procedures.
Knowledge of local, state, and federal healthcare regulations.
SwedishAmerican offers a competitive compensation and benefits package. Work experience that is relevant to the position will be taken into consideration when determining the starting base pay.
SwedishAmerican serving northern Illinois and southern Wisconsin communities--also a Magnet-designated facility-- is dedicated to delivering high quality healthcare and strategies to keep our patients and their families well. In fact, quality drives all that we do. In recent years, our commitment to quality and excellence has resulted in more national awards, for quality and preference than any other health system in northern Illinois.
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SwedishAmerican, A division of UW Health values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.