Rush University Medical Center  FSR Collections-Commercial Billing/Collections in Chicago, Illinois

Job Title: FSR Collections-Commercial Billing/Collections


Shift: 1st

Full/Part: Active Regular FT (72 to 80 hours per pay period)


Job Number: 2018-0593

Job Description:

Do you wish to join one of the nation’s leading academic health centers for research and health profession education?

Rush University Medical Center is seeking an inquisitive and analytical Collections Representative !

Position Highlights:

The Collections Financial Representative I actively seeks payments of assigned patient claims. He/she utilizes current work queues with effective use of systems and resources. The Collections Financial Representative contacts payers with proactive goals of resolving missing data issues, answering open questions, and assuring financial commitment. He/she assists with A/R projects as necessary. The Collections Financial Representative I decreases receivables and increases quality and productivity.

Position Responsibilities Include:

  • Maintains low number of accounts over 90 days aged from discharge.

  • Collects all non-government-related open receivables and properly works rejected claims in a timely manner.

  • Identifies trends and escalates to management for review.

  • Maintains productivity and quality goals set by manager and department.

  • Works on online status and various payer websites, i.e. ASF, Availity, and NDAS.· Problem solves any patient-related issues such as COB, pre-existing condition, etc. while maintaining a high level of patient satisfaction.

  • Works with ancillary departments and manager on items such as trends and systematic issues.

  • Understands next steps for claims resolution including underpaid claims.

  • Maintains knowledge of new, current, and terminated insurance contracts with the medical center.

  • Obtains all pertinent back-up data as follows: EOBs, insurance company correspondence, calculation sheets, letters of explanation, and explanation from reimbursement from Epic/PMMC to successfully work overpaid & underpaid claims.

  • Ensures there is proper documentation in Epic related to all actions taken on accounts.

  • Works with departments to resolve rejections due to improper coding or charging.

  • Identifies misapplied cash or incorrect adjustments and makes necessary changes in patient accounting systems.

  • Attends meetings to obtain updated info related to collections and underpayments and keeps payers informed of trends.

  • Engages in continual education and training in the subject field.

Position Qualifications Include:

  • High school diploma or GED required.

  • A minimum of two years of experience in commercial billing and collections required.

  • A minimum of two years of experience with managed care contract language in the healthcare field preferred.

  • Specific knowledge of Microsoft Office in order to design, implement, track, and maintain moderately complex statistical information.

  • Knowledge of Epic Hospital Billing and Follow up, NDAS, NEBO, E-Care, On-Base, and Availity preferred.

  • Strong analytical skills including statistical, mathematical, and organization abilities necessary for accurate reporting to payers and management.

  • Strong interpersonal skills are required for communication of finance-related issues to management and ancillary departments.

Company Highlights:

  • Rush is a not-for-profit health care, education and research enterprise comprising Rush University Medical Center,Rush University, Rush Oak Park Hospital and Rush Health.

  • Rush's 14-story hospital Tower is the cornerstone of the Rush Transformation, and is the symbol of a philosophy-an evolution in the delivery of patient-centered care.

  • Leading academic medical center, acute care hospital w/ 664 licensed beds

  • Rush University is home to one of the first medical colleges in the Midwest and one of the nation's top-ranked nursing colleges, as well as graduate programs in allied health, health systems management and biomedical research. Twelve programs are nationally ranked by U.S. News & World Report.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.