Share this Job

Account Representative Senior

Durable Medical Equipment

 

Address   Franciscan Health
    16149 Clinton Street
    Harvey, IL 60426

Hours  Days

Calendar  Full-Time; 40.00/week

Education High School Diploma/ GED Required

WHAT WE NEED

A bookkeeping pro

WHO WE ARE LOOKING FOR

Back-end operations may not be the in-the-spotlight jobs of the world but they most certainly are the foundation jobs. Obtaining verification, following-up for documentation, preparing refund requests, processing cash receipts – these are all tasks that are critical to the success of any business. And yes, running one of the largest health care systems in the Midwest is most certainly a business.

 

Are you proud of your attention to detail and organizational skills? Do you enjoy following clear instructions and complying with standards and regulations? Are you good at working with others towards a common goal? If so, let’s talk about a special place to put your skills to work. 

WHAT YOU WILL DO

  • Answer, process, and data entry of incoming (fax, telephone, walk-in, and field staff) customer equipment orders. 
  • Establish medical necessity for ordered equipment and obtaining verbal order and signed orders from physicians. 
  • Obtain verification and/or prior and reauthorization from respective payer to capture accurate reimbursement verification and assess patient financial responsibility. 
  • Document special delivery and financial arrangements under the comment section on the delivery ticket to assist respiratory/technician staff with equipment delivery as well as informing customers of their financial obligation.
  • Perform follow-up for required documentation for ordered equipment, adhering to CMS, Medicaid, Third Party documentation requirements. 
  • Investigate and solve customer/payer inquiries on medical/respiratory claims to expedite reimbursement within industry norm timeframe. 
  • Attend all required in-services, staff development programs and accesses on-line resources.
  • Secure and update changes in customer demographic, medical condition, physician, and payer information into computer billing software to insure service records reflect up to date and current information.
  • Assist team members as requested by direct supervisor to insure that the demands of office operations are maintained.
  • Prepare refund request and attaches required documentation for review and approval by Supervisor of Billing, Manager, or Director.
  • Perform follow up on aged account balances, document follow up efforts, identify reimbursement problems and respond within respective timeframes.
  • Maintain supporting documentation when customer is discharged from service or equipment is converted to purchase.  
  • Process cash receipts to billing service for posting.  

WHAT IT TAKES TO SUCCEED

  • High attention to detail.
  • Strong organizational and analytical skills.
  • Ability to follow well-defined instructions and comply with regulations, standards and procedures.
  • Ability to maintain confidentiality of sensitive information.
  • Knowledge of medical and insurance terminology and abbreviations.
  • Knowledge of healthcare billing processes in accordance with CMS, Medicaid, and third party payer requirements.


WHAT WE'RE LOOKING FOR

 

0-1 Years Experience

License(s):

Certification(s):

Travel: 

 

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

BILLING & HEALTH INFORMATION ​​​​


Nearest Major Market: Chicago

Job Segment: Medical, Respiratory, Medicaid, Medical Equipment, Data Entry, Healthcare, Administrative