UnityPoint Health

  • Insurance Credit Specialist

    Requisition ID
    2018-43825
    Category
    Billing and Coding
    Location
    US-IL-Peoria
    Address
    120 NE Glen Oak
    Affiliate
    5020 UnityPoint Health Methodist Medical Center
    City
    Peoria
    Department
    Central Billing- UPC
    State
    IL
    FTE
    1.0
    FLSA
    Non-Exempt
    Scheduled Hours/Shift
    40/1st Shift
  • Overview

     

    UnityPoint Health - Methodist | Proctor | The Point of Unity is You.

     

    UnityPoint Health is one of the nation's most integrated health systems. We have a vision for healthcare, and it starts with you: "Best outcome for every patient, every time."

     

    Through relationships with more than 280 physician clinics, 29 hospitals in metropolitan and rural communities, and home care services throughout its 8 regions, UnityPoint Health provides care throughout Illinois and Iowa.

     

    We surround you with care that is coordinated between your doctor's office, hospital and in your home.

     

    With almost 600 board-certified physicians backed by a dedicated team of healthcare professionals who combine high-tech medicine with genuine warmth and caring, UnityPoint Health - Methodist provides coordinated clinic, hospital and home-based care for patients in Central Illinois.

     

     

    Insurance Credit Specialist

     

    UnityPoint Health-Methodist Campus

     

    Shift: Full-time/40 hrs per week

     

     

     

    Summary:

     

    This position is a working member of the team with daily expectations to coordinate with other team members to achieve operational targets and customer satisfaction. This position is for cash applications but may have responsibility on an as needed basis for job functions in billing, follow-up, or customer service.

    Responsibilities

     

     

     

    INSURANCE CREDIT WQ’S◦Monitors WQ’s on a daily basis and meets established targets.

    • ◦Researches credits to determine if refund is warranted, payments should be applied, or if the account needs deferred for additional information.
    • ◦Defers accounts for the appropriate timeframe depending on the issue and enters an appropriate note as to why the credit has been deferred.
    • ◦Corrects posting errors or reaches out to the appropriate person when corrections are warranted.
    •  

    E-MAIL DISTRIBUTION ROTATION ◦Monitors e-mails received during each scheduled weekly rotation.

    • ◦Responds to e-mails that require a response within the established timeframe.
    • ◦Handles account review requests within the established timeframe.
    • ◦Responds within the established timeframe to refund requests that have been received.
    • ◦Documents notes in the appropriate location(s) in the system when necessary

     

    INSURANCE REFUNDS

    • ◦Processes deferred refund/recoup requests that come back to the active tab according to the refund policy.
    • ◦Processes returned refund correspondence once follow up team has authorized for refund.
    • ◦Processes online recoup refunds for payors that require electronic refunds.
    • ◦Submits supporting documentation to accounts payable weekly for insurance refunds being sent by check

    COMMUNICATION WITH CO-WORKERS/OTHER REGIONS

    • ◦Respond to all e-mail requests in the expected timeframe in a professional and courteous manner.
    • ◦Communicates e-mail requests for corrections or assistance on an account in a clear, concise and professional manner. Provides account #, patient name and DOS including screen shots when necessary.
    • ◦Provides assistance to co-workers with credit/payment/PLB questions in a professional and timely manner.
    • Seeks assistance from leadership when questions arise regarding credit expectations/policies

    Qualifications

     

     

    Education:

    •  High school graduate or GED equivalent required

     

    Experience:

      

    • 1-3 years of experience in/with customer service, keyboarding, computer systems and office equipment, medical insurance billing and or cash posting Required.
    • 1-3 years of experience in/with working with governmental agencies, UB92/HCFA 1500 and other state billing forms Preferred.

     

    Required English Skills

    • Basic reading skills
    • Basic writing skills
    • Basic oral skills

      

    Communication Skills

    • Ability to respond appropriately to customer/co-worker
    • Interaction with a wide variety of people
    • Maintain confidential information
    • Ability to communicate only the facts to recipients or to decline to reveal information
    • Ability to project a professional, friendly, helpful demeanor

     

    Computer Skills

    • Basic computer knowledge: Uses word processing, spreadsheet, e-mail application, and web browser. Comfortable within a Windows OS and learning new applications.
    • MS Office Apps
    • Windows Operating System
    • E-mail client

     

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