How You'll Make a Difference:
Primary link with the patient involving both physician and hospital billing. Addresses and researches telephone and written inquiries regarding patient accounts to ensure proper account resolution. Researches account problems, generates required changes, follows up with the patient, negotiates acceptable payment plans and processes patient payments once the account has been resolved.
Investigates and responds to all phone and written inquiries from patients/guarantors, insurance companies, physician offices, and government agencies regarding medical account billing. Makes calls to outside sources for additional information to ensure that inquires are resolved in a timely manner with the highest degree of courtesy and a high level of patient satisfaction.
Accesses, understands and explains necessary information from the billing and medical records system including claims inquiry, account history, and account status for both hospital and physician billing.
Accurately documents and updates the patient accounts system with all information received and all actions taken.
Keeps abreast of insurance sequencing rules, medical billing guidelines or laws, and changes impacting patient accounts and uses resources to validate correct process and explanation.
Requests payment in full and processes payments using on-lines systems. Negotiates acceptable payment arrangements when payment-in-full cannot be made.
Makes changes to patient demographics and insurance information; submits or resubmits claims to the insurance company when appropriate.
Works with appropriate departments to resolve questions and/or issues related to billing, coding and denials.
Handles all escalated calls, attempting to resolve issues before they become escalated complaints.
Applies appropriate discounts including self-pay discounts, prompt-pay discounts, insurance discounts, charge adjustments and service recovery adjustments when applicable.
What it Will Take:
Knowledge, Skills & Abilities
Demonstrated knowledge of the health care industry, insurance terminology, and medical billing. Excellent customer service and follow-up skills. Ability to converse with customers while researching and documenting the call on a personal computer.Ability to understand the system's adjudication process in determining how a claim has been paid.Ability to diplomatically work with a variety of customers and actively listen to successfully determine the customer's needs. Ability to successfully analyze and independently resolve customer issues.Proficiency with computerized patient accounting systems.Ability to work in a fast-paced environment, dealing with a variety of patient needs.
Hours of operation are Monday through Thursday 7:30am until 6:00pm Friday 7:30am until 5:00pm
Patient Contact Center
3305 FOREST HOME AVENUE
At Aurora Health Care:
Discover the Benefits...
Imagine a work environment where you are valued for finding better ways of caring for our patients and are offered flexibility, mobility and growth through a wide range of career options. With Aurora you'll find a diverse and comprehensive blend of benefits designed to make your life better both inside and outside of the workplace.
Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer and maintain an environment that attracts, recruits, engages and retains a diverse workforce.