Northwestern Memorial Hospital
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Memorial Hospital, Chicago, Illinois, United States, 60290
Overview
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid) role at Northwestern Memorial Hospital. Responsibilities
Performs charge capture for all procedures in the Bronchoscopy suite, including audit of CPT codes and verification of supplies used against operative notes. Assists patients with billing and insurance matters, communicates balances owed, and facilitates collection of balances. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates with physicians and technicians to understand treatment plans and determine costs; works with staff on managed care and referral related issues and communicates findings to patients. Coordinates pre-certification with clinical staff for procedures in the Bronchoscopy Suite and Operating Rooms. Handles billing inquiries received via telephone or written correspondence. Investigates financial resources or programs available to patients and educates staff and patients about these programs. Performs precertification for appropriate tests or procedures and documents all information and authorization numbers in Epic; acts as a liaison for follow-up related to precertification. Responds to patient inquiries related to billing follow-up; requests necessary charge corrections; identifies patterns of billing errors and works with management to improve processes. Provides guidance regarding clinical documentation to optimize charges and RVUs; confirms coding accuracy based on clinical documentation and reviews common errors with physicians and leadership. Adheres to Northwestern Medicine mission, values, Code of Ethics and Corporate Compliance Program, and complies with policies, procedures, guidelines, and regulatory standards. Processes charges, payments and or adjustments for all services rendered at NM Corporate Health Clinics; researches and follows up on outstanding accounts; provides exceptional customer service for billing inquiries; uses knowledge of coding, billing, insurance and collections; performs weekly claims, monthly late bills and patient statement runs; and reviews accounts for outside collection agencies. Ensures HIPAA privacy compliance and identifies opportunities for process improvement; demonstrates proficient use of systems in all responsibilities. Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer system and documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to ensure completeness of charge capture. Ensures notes are placed in systems clearly identifying steps taken, according to procedures. Works with patients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls professionally and efficiently; provides courteous service to guarantors, patients, internal and external contacts. Prepares itemized bills upon request and explains charges, payments and adjustments; produces clear statements for outstanding balances. Ensures timely submission of accurate bills and invoices to clients, patients and insurance companies; posts charges, payments, denials and write-offs within 48 hours of receipt; balances payment and adjustment batches with reconciliation reports and deposits. Ensures compliant follow-up procedures with third party payers; runs A/R reports and follows up on unpaid claims or balances with insurance companies, patients, and collection agencies. Performs daily systematic review of accounts receivable to ensure work is completed; recommends accounts for write-offs with justification; handles denials and appeals including root cause analysis; sends pre-collection letters as defined by procedures. Identifies accounts to send to outside collection agencies; prepares and distributes required finance and operations reports; maintains productivity and quality standards. Practices HIPAA privacy; identifies opportunities for process improvement and uses systems proficiently. Communication and Teamwork
Fosters positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service; answers calls, takes messages and returns calls as appropriate. Demonstrates teamwork across departments; communicates effectively, respects diverse opinions, and acknowledges contributions. Communicates clearly with physicians, managers, nursing staff, front office staff, and employees; maintains a positive attitude and good time management. Service Excellence
Maintains a friendly, professional demeanor and appearance. Partners with Northwestern Medicine functional areas to support organizational objectives. Fosters a cohesive, high-energy, collaborative, and quality-focused team. Supports a Safety Always culture and maintains confidentiality of patient information. Demonstrates awareness of time and budget constraints; performs other duties as assigned. Qualifications
Required:
High school graduate or equivalent. Strong computer knowledge and 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. Clear and effective communication skills, both oral and written, at all levels. Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health is a plus. CPC or R certificate is a plus.
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. A background check may be performed if an offer is made; a conviction does not disqualify you from employment and is considered on a case-by-case basis per state and federal guidelines. 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) Matching 401(k) Excellent medical, dental and vision coverage Life insurance Annual Employee Salary Increase and Incentive Bonus Paid time off and Holiday pay Job details
Employment type:
Full-time Location:
Chicago, IL Job function:
Accounting/Auditing and Finance Industries:
Wellness and Fitness Services; Hospitals and Health Care Seniority level:
Not Applicable
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Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid) role at Northwestern Memorial Hospital. Responsibilities
Performs charge capture for all procedures in the Bronchoscopy suite, including audit of CPT codes and verification of supplies used against operative notes. Assists patients with billing and insurance matters, communicates balances owed, and facilitates collection of balances. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates with physicians and technicians to understand treatment plans and determine costs; works with staff on managed care and referral related issues and communicates findings to patients. Coordinates pre-certification with clinical staff for procedures in the Bronchoscopy Suite and Operating Rooms. Handles billing inquiries received via telephone or written correspondence. Investigates financial resources or programs available to patients and educates staff and patients about these programs. Performs precertification for appropriate tests or procedures and documents all information and authorization numbers in Epic; acts as a liaison for follow-up related to precertification. Responds to patient inquiries related to billing follow-up; requests necessary charge corrections; identifies patterns of billing errors and works with management to improve processes. Provides guidance regarding clinical documentation to optimize charges and RVUs; confirms coding accuracy based on clinical documentation and reviews common errors with physicians and leadership. Adheres to Northwestern Medicine mission, values, Code of Ethics and Corporate Compliance Program, and complies with policies, procedures, guidelines, and regulatory standards. Processes charges, payments and or adjustments for all services rendered at NM Corporate Health Clinics; researches and follows up on outstanding accounts; provides exceptional customer service for billing inquiries; uses knowledge of coding, billing, insurance and collections; performs weekly claims, monthly late bills and patient statement runs; and reviews accounts for outside collection agencies. Ensures HIPAA privacy compliance and identifies opportunities for process improvement; demonstrates proficient use of systems in all responsibilities. Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer system and documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to ensure completeness of charge capture. Ensures notes are placed in systems clearly identifying steps taken, according to procedures. Works with patients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls professionally and efficiently; provides courteous service to guarantors, patients, internal and external contacts. Prepares itemized bills upon request and explains charges, payments and adjustments; produces clear statements for outstanding balances. Ensures timely submission of accurate bills and invoices to clients, patients and insurance companies; posts charges, payments, denials and write-offs within 48 hours of receipt; balances payment and adjustment batches with reconciliation reports and deposits. Ensures compliant follow-up procedures with third party payers; runs A/R reports and follows up on unpaid claims or balances with insurance companies, patients, and collection agencies. Performs daily systematic review of accounts receivable to ensure work is completed; recommends accounts for write-offs with justification; handles denials and appeals including root cause analysis; sends pre-collection letters as defined by procedures. Identifies accounts to send to outside collection agencies; prepares and distributes required finance and operations reports; maintains productivity and quality standards. Practices HIPAA privacy; identifies opportunities for process improvement and uses systems proficiently. Communication and Teamwork
Fosters positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service; answers calls, takes messages and returns calls as appropriate. Demonstrates teamwork across departments; communicates effectively, respects diverse opinions, and acknowledges contributions. Communicates clearly with physicians, managers, nursing staff, front office staff, and employees; maintains a positive attitude and good time management. Service Excellence
Maintains a friendly, professional demeanor and appearance. Partners with Northwestern Medicine functional areas to support organizational objectives. Fosters a cohesive, high-energy, collaborative, and quality-focused team. Supports a Safety Always culture and maintains confidentiality of patient information. Demonstrates awareness of time and budget constraints; performs other duties as assigned. Qualifications
Required:
High school graduate or equivalent. Strong computer knowledge and 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. Clear and effective communication skills, both oral and written, at all levels. Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health is a plus. CPC or R certificate is a plus.
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. A background check may be performed if an offer is made; a conviction does not disqualify you from employment and is considered on a case-by-case basis per state and federal guidelines. 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) Matching 401(k) Excellent medical, dental and vision coverage Life insurance Annual Employee Salary Increase and Incentive Bonus Paid time off and Holiday pay Job details
Employment type:
Full-time Location:
Chicago, IL Job function:
Accounting/Auditing and Finance Industries:
Wellness and Fitness Services; Hospitals and Health Care Seniority level:
Not Applicable
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