Northwestern Medicine
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Medicine, Chicago, Illinois, United States, 60290
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (Hybrid)
4 weeks ago Be among the first 25 applicants
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
Perform charge capture for all procedures completed in the Bronchoscopy suite, including audit of CPT codes, confirmation of supplies used, and alignment with operative notes.
Assist patients with billing and insurance matters, communicating balances owed and facilitating collections.
Educate patients about financial assistance opportunities, insurance coverage, treatment costs, and billing procedures.
Collaborate closely with physicians and technicians to understand treatment plans and determine associated costs, and communicate findings to patients.
Coordinate the pre‑certification process with clinical staff for procedures in the Bronchoscopy Suite and Operating Rooms.
Handle billing inquiries received by telephone or written correspondence.
Investigate and understand available financial resources or programs for patients, educating staff and patients.
Conduct pre‑certification for appropriate tests or procedures, document authorization numbers in Epic and act as liaison for follow‑up.
Respond to patient billing follow‑up inquiries.
Request necessary charge corrections.
Identify patterns of billing errors and collaborate with department manager and external entities to improve processes.
Provide guidance regarding clinical documentation to optimize charges and RVUs.
Confirm coding accuracy based on clinical documentation and review common errors with physicians and leadership.
Responsibilities
Ensure patient demographic and billing/insurance information is current in the computer application and document all contacts.
Review daily clinic schedules and track receipt of documentation to ensure completeness of charge capture.
Ensure notes are placed in systems with clear documentation of steps taken.
Work with patients/clients to establish payment plans according to procedures.
Handle all incoming customer service calls efficiently and professionally.
Prepare itemized bills upon request, explaining charges, payments, and adjustments.
Submit accurate bills and invoices to clients, patients and insurance companies on time.
Post all charges, payments, denials and write‑offs to the appropriate account within 48 hours of receipt.
Reconcile payment and adjustment batches with reports and bank deposits.
Follow up on outstanding accounts with third‑party payers.
Run outstanding A/R reports, follow up on unpaid claims or balances.
Perform daily systematic review of accounts receivable.
Recommend accounts for write‑off and provide justification.
Follow up on denials and appeals, perform root‑cause analysis to reduce future claims.
Send pre‑collection letters as defined by procedures.
Send accounts to outside collection agency when appropriate.
Prepare and distribute required reports to finance, accounting and operations.
Maintain quality and productivity standards and meet deadlines.
Practice HIPAA privacy standards.
Identify process improvement opportunities and submit to management.
Demonstrate proficiency with systems and processes in all responsibilities.
Qualifications Required
High school graduate or equivalent.
Strong computer knowledge; 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.
Strong communication skills, oral and written.
Ability to work independently.
Preferred
3 years of physician office/medical billing experience in Corporate Health/Occupational Health.
CPC (Certified Professional Coder) or R (Registered Medical Coder) certificate.
Additional Information 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. If we offer you a job, we will perform a background check including criminal convictions; a conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case‑by‑case basis and follow all state and federal guidelines.
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Seniority level: Associate
Employment type: Full‑time
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At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
Perform charge capture for all procedures completed in the Bronchoscopy suite, including audit of CPT codes, confirmation of supplies used, and alignment with operative notes.
Assist patients with billing and insurance matters, communicating balances owed and facilitating collections.
Educate patients about financial assistance opportunities, insurance coverage, treatment costs, and billing procedures.
Collaborate closely with physicians and technicians to understand treatment plans and determine associated costs, and communicate findings to patients.
Coordinate the pre‑certification process with clinical staff for procedures in the Bronchoscopy Suite and Operating Rooms.
Handle billing inquiries received by telephone or written correspondence.
Investigate and understand available financial resources or programs for patients, educating staff and patients.
Conduct pre‑certification for appropriate tests or procedures, document authorization numbers in Epic and act as liaison for follow‑up.
Respond to patient billing follow‑up inquiries.
Request necessary charge corrections.
Identify patterns of billing errors and collaborate with department manager and external entities to improve processes.
Provide guidance regarding clinical documentation to optimize charges and RVUs.
Confirm coding accuracy based on clinical documentation and review common errors with physicians and leadership.
Responsibilities
Ensure patient demographic and billing/insurance information is current in the computer application and document all contacts.
Review daily clinic schedules and track receipt of documentation to ensure completeness of charge capture.
Ensure notes are placed in systems with clear documentation of steps taken.
Work with patients/clients to establish payment plans according to procedures.
Handle all incoming customer service calls efficiently and professionally.
Prepare itemized bills upon request, explaining charges, payments, and adjustments.
Submit accurate bills and invoices to clients, patients and insurance companies on time.
Post all charges, payments, denials and write‑offs to the appropriate account within 48 hours of receipt.
Reconcile payment and adjustment batches with reports and bank deposits.
Follow up on outstanding accounts with third‑party payers.
Run outstanding A/R reports, follow up on unpaid claims or balances.
Perform daily systematic review of accounts receivable.
Recommend accounts for write‑off and provide justification.
Follow up on denials and appeals, perform root‑cause analysis to reduce future claims.
Send pre‑collection letters as defined by procedures.
Send accounts to outside collection agency when appropriate.
Prepare and distribute required reports to finance, accounting and operations.
Maintain quality and productivity standards and meet deadlines.
Practice HIPAA privacy standards.
Identify process improvement opportunities and submit to management.
Demonstrate proficiency with systems and processes in all responsibilities.
Qualifications Required
High school graduate or equivalent.
Strong computer knowledge; 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.
Strong communication skills, oral and written.
Ability to work independently.
Preferred
3 years of physician office/medical billing experience in Corporate Health/Occupational Health.
CPC (Certified Professional Coder) or R (Registered Medical Coder) certificate.
Additional Information 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. If we offer you a job, we will perform a background check including criminal convictions; a conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case‑by‑case basis and follow all state and federal guidelines.
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well‑being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Seniority level: Associate
Employment type: Full‑time
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