Medical Billing Representative

Medical Billing Representative - Ascension Hospital, Chicago, IL

Hourly Pay Range: $20-$24

Benefits Include:Medical, Dental and Vision Coverage; 401(k); Healthcare Savings Account; Generous PTO Package; Health and Wellness Perks Program

Under general supervision, responsible for educating patient on insurance coverage and benefits. Assess patients financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.

Responsibilities:

- Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.

- Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form.

- Completes appropriate reimbursement and liability forms for patient*s review and signature.

- Forwards appropriate information and forms to billing office.

-Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.

- Review patient account balance and notify front desk of patients to meet with

-Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately

-At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).

-Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.

-Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients' records.

-Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested.
-Other duties as requested or assigned.

Qualifications:

- High school diploma or equivalent required. Minimum three (3) years patient pre-services coordinator or equivalent required. Proficiency with computer systems and MicroSoft Office (Word and Excel) required.

-Demonstrate knowledge of CPT coding and HCPS coding application.

-Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.

-Must successfully complete required e-learning courses within 90 days of occupying position.

-Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded a san expert in the technical/functional area; accesses and uses other expert resources when appropriate.

-Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.

-Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.

-Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.

-Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

About Illinois Cancer Specialists

Illinois Cancer Specialists (ICS) is dedicated to providing convenient, compassionate leading-edge cancer
care to patients in Chicago and the surrounding areas. With more than 30 years in practice and over 400
years of combined physician experience, ICS is changing the forefront of patient care. Our dedicated and
highly-skilled physicians and staff, who specialize in caring for patients with cancer and blood disorders,
provide unparalleled access to the most innovative, advanced therapies and latest technologies
throughout Chicago and the surrounding areas. With more than 20 board certified physicians, ICS offers
convenient, compassionate care in ten locations. For more information about Illinois Cancer Specialists
visit www.illinoiscancerspecialists.com.

Illinois Cancer Specialists is united in healing with The US Oncology Network, one of the nation's largest
networks of integrated, community-based oncology practices dedicated to advancing high-quality,
evidence-based cancer care. As an affiliate of The US Oncology Network, ICS is united with more than
1,000 physicians nationwide. Illinois Cancer Specialists participates in clinical trials through US Oncology
Research, which has played a role in approximately 60 FDA-approved cancer therapies, nearly one-third
of all cancer therapies approved by the FDA to date. For more information, visit www.usoncology.com.