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Financial Assessor-Patient Accounting Full-Time Days

Company: 
Northwestern Medicine
City: 
Chicago
State: 
Illinois
Employment type: 
Full time
Remote Position: 
No
Required degree level: 
Other

Benefits

  • $10,000 Tuition Reimbursement per year ($5,700 part-time)
  • $10,000 Student Loan Repayment ($5,000 part-time)
  • $1,000 Professional Development per year ($500 part-time)
  • $250 Wellbeing Fund per year($125 for part-time)
  • Annual Employee Merit Increase and Incentive Bonus
  • Paid time off and Holiday pay


Description

The Financial Assessor Patient Accounting 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.

Responsibilities:

  • Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims.
  • Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator.
  • Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution.
  • Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.).
  • Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts).
  • Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed.
  • Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
  • Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals.
  • Identify opportunities for customer, system and process improvement and submit to management.
  • Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures.
  • Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor.
  • Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor.
  • Utilize assigned computer hardware and report hardware problems to the appropriate supervisor.
  • Participate in the testing for assigned software applications, including verification of field integrity.
  • Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary.
  • Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator.


Qualifications

Required:

  • High School diploma or equivalent
  • One year related work experience or college degree
  • Ability to perform mathematical calculations
  • Basic knowledge of medical terminology and billing practices
  • Extensive experience and knowledge of PC applications, including Microsoft Office and Excel
  • Learn quickly and meet continuous timelines
  • Exhibit behaviors consistent with principles of excellent service.


Preferred:

  • Two or more years' college or college degree.
  • Call center, telephone work experience or cash collections experience.
  • Knowledge of Epic Systems.
  • Two (2) years progressive work experience in a hospital/ physician billing or SBO environment.
  • Detail-oriented, good organizational skills, and ability to be self-directed.
  • Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere.
  • Flexibility to perform other tasks as needed in an active work environment with changing work needs.
  • High-level problem solving, analytical, and investigational skills.
  • Excellent internal/external customer service skills.


Equal Opportunity

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.

While each of our 11 hospitals and more than 200 locations has a unique story, Northwestern Medicine is unified under one vision: to put patients first in everything that we do. Anchored by Northwestern Memorial Hospital in downtown Chicago, Northwestern Medicine brings academic medicine into the heart of local communities across the suburbs and beyond, close to where our patients live and work.

Northwestern Medicine is dedicated to providing the most advanced health care to the communities and patients we serve. The Northwestern Medicine clinical and administrative staff, medical and science faculty, and medical students come together every day with a shared commitment to superior quality, academic excellence, scientific discovery and patient safety.

Northwestern Medicine has:

  • More than 33,000 employees dedicated to exceptional service and care
  • More than 4,400 aligned physicians, including faculty, residents and scientists, offering treatment informed by the latest research from Northwestern University Feinberg School of Medicine
  • 6 hospitals honored by the Magnet® Recognition Program for meeting the highest standards for patient care and nursing excellence
  • Hundreds of locations throughout the Chicagoland area

CULTURE

Our Mission, Vision and Core Values

Whether directly providing patient care or supporting those who do, every Northwestern Medicine employee has an impact on the quality of the patient experience and the level of excellence we collectively achieve. This knowledge, expressed in our shared commitment to a single, patient-focused mission, unites us.

Mission

Northwestern Medicine is a premier integrated academic health system where the patient comes first.

  • We are all caregivers or someone who supports a caregiver.
  • We are here to improve the health of our community.
  • We have an essential relationship with Northwestern University Feinberg School of Medicine.
  • We integrate education and research to continually improve excellence in clinical practice.
  • We serve a broad community and strive to bring the best in medicine closer to where patients live and work.

Vision

To be a premier integrated academic health system that will serve a broad community and bring the best in medicine—including breakthrough treatments and clinical trials enhanced through our affiliation with Northwestern University Feinberg School of Medicine—to a growing number of patients close to where they live and work.

Values

Patients first: Putting our patients first in all that we do

Integrity: Adhering to an uncompromising code of ethics that emphasizes complete honesty and sincerity

Teamwork: Team success over personal success

Excellence: Continuously striving to be better

  • “Best Place to Work for Disability Inclusion” (2022): Top score and designated as “Best Place to Work for Disability Inclusion” by the Disability Equality Index
  • “Best Place to Work for Disability Inclusion” (2021): Top score and designated as “Best Place to Work for Disability Inclusion” by the Disability Equality Index

 

 

Accommodations:
Vision Accommodations, Hearing Accommodations, Neurodiversity, Learning, Mental Health, Mobility