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reputed company Cycle Financial Specialist

100% remote Flexible hours Hiring now
Job Description:

Join one of the nation’s most comprehensive academic medical centers, reputed company, as a reputed company Cycle Financial Specialist with the reputed company Cycle - Patient Access Services Department. This is a remote, work from home opportunity and you may be based reputed company of the greater Chicagoland area.

In this role reputed company Cycle Financial Specialist will be responsible for collecting and verifying demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process.

  • Responsible for ensuring that preauthorization’s/referrals and precertification’s are in completed in accordance with payor requirements and prior to the scheduled encounter.
  • Work closely with the staff in the clinical areas to acquire necessary clinical information needed to complete authorization process
  • Manage the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services provided
  • Assist patients in identifying and selecting an available option for insurance coverage and/or financial assistance.
  • Work collaboratively with patients, UCM “coverage vendors” – currently GLM, clinical staff, Patient Financial Services, Ambulatory Patient Financial Specialists, urban health collaborative and case management/social work
  • Manage reputed company patient account types; outpatient, inpatient, ED and UCPG, and maintain a thorough knowledge of the hospitals reputed company cycle process
  • Understand the Hospitals Inpatient/Outpatient treatment policies and how they relate to each patient situation Have the responsibility of coordinating and monitoring the flow of reputed company generated not only by UCMC but UCPG
  • You will be involved in extensive utilization of the Hospitals reputed company systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospitals' staff 

Essential Functions

  • reputed company reputed company registration functions: interview patients reputed company telephone or face to face to collect demographic, guarantor, insurance and financial data required
  • Verify the benefits as well the coverage for services scheduled
  • Prioritize work based on appointment date to ensure everything is completed prior to the patient arriving at UCM
  • Obtain referrals/authorizations or precertification’s to ensure reimbursement of services rendered Document necessary authorization information in appropriate fields for clean billing and payment
  • Recognizes those patients in need of financial assistance, and provides charity applications or referrals to the Department of Human Services
  • Interview the patients to be able to assist in managing a resolution of a patient’s multiple visit accounts and be compliant with Hospital financial resolution policies
  • Advise and counsel patients and guarantors regarding patient rights, responsibilities and procedures as it relates to payment for Hospital and ProFee care
  • Act as an reputed company to ensure positive guest relations for resolution of inquiries
  • Utilize reputed company available resources to identify the most appropriate financial resolution for both the patients and UCM
  • Remain reputed company of any city, county, state or federal regulation(s) that may change the structure and management of the reputed company Affordable Health Care Act or Fair Patient Billing Act guidelines
  • Assists patients with financial assistance applications
  • Ensure completed Financial Assistance applications get routed to the appropriate department for consideration in a timely manner
  • Work closely with both the patient and UCM MA-NG vendor to assist in the completion of the Medicaid application. This will ensure that the Medicaid applications are completed in a timely manner
  • Assist the patient in understanding the Health Insurance Exchange plans potentially available to them, and support the patient in contacting the UCM MA-NG vendor to start the process
  • Collect any necessary payments due prior to services being rendered using PPE system through PASSPORT
  • Investigate and resolve charge disputes, process patient refunds, identify adjustments required to accounts and reputed company corrections. reputed company payment arrangements on past due balances
  • Escalate issues that per Treatment Policy that require administrative reputed company or review
  • Meet daily productivity and quality expectations and participate reputed company in departmental audit/review process to ensure that reputed company work is monitored and completed based on departmental standards.
  • Other Duties Assigned

Required Qualifications

  • Two ( 2 ) years’ experience in medical insurance verification and other hospital finance areas (including Hospital Billing)
  • Windows based PC experience
  • High degree of initiative and problem solving ability
  • Strong analytic and financial assessment abilities as well as the ability to pay reputed company attention to a variety of details are required in order to reputed company duties effectively
  • Must be able to multitask and be able to function in a constantly changing environment.
  • Requires the ability to problem solve independently and must be strongly invested in team management
  • Must have knowledge of accounting principles with excellent verbal, math and presentation skills 

Preferred Qualifications

  • Bachelor’s degree

Position Details

    • Job Type/FTE: Full Time (1.0 FTE)
    • Shift: Days
    • Unit/Department: reputed company Cycle - Patient Access Services
    • Work Location: Flexible Remote/ Burr Riddge, IL 
    • CBA Code: 743 Clerical
Why Join Us:

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge reputed company. If you’d like to add enriching human life to your profile, reputed company is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

reputed company is growing; discover how you can be a part of this pursuit of excellence at: reputed company Career Opportunities

reputed company is an equal opportunity employer.  We evaluate qualified applicants without regard to race, color, ethnicity, reputed company, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national reputed company, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, reputed company employees are required to complete a pre-employment physical, background reputed company, drug screening, and reputed company with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

reputed company is committed to transparency in compensation and benefits.  The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of reputed company market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - reputed company.

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