Job Description
**This is a Part Time position at 20 hours per located at Lake Forest Hospital and the work schedule is flexible. Medical Billing Specialist Certification and/or Medical Coding Specialist certification is preferred.**
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
- Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
- Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
- Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
- Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
- Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
- Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
- Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
- Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
- Prepares and distributes reports that are required by finance, accounting, and operations.
- Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
- Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
- Identify opportunities for process improvement and submit to management.
- Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
- Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
- Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
- Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
- Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
- Displays a friendly, approachable, professional demeanor and appearance.
- Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
- Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
- Supports a “Safety Always” culture.
- Maintaining confidentiality of employee and/or patient information.
- Sensitive to time and budget constraints.
- Other duties as assigned.
Qualifications
Required:
- High school graduate or equivalent.
- Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
- Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
- 3 years of physician office/medical billing experience.
- Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
- Ability to work independently.
Preferred:
- 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
- CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
