Billing Specialist
Responsible for the timely and accurate resolution of hospital / physician billing accounts. Responds to customer service inquiries (phone, written correspondence) and resolves any issues when appropriate by performing billing, charge revision (debits or credits), corrections, adjustments, payment arrangements, discounts and settlements ensuring a customer satisfactory interaction.
Essential Job Functions :
- Acts as a liaison with insurance or billing company or with Lurie Children's Patient Financial Services to handle and resolve incoming telephone inquiries related to patient accounts, update billing systems with new or corrected information (eg. Demographics or insurance information) received from parents / patients.
- Process eligibility to resolve self-pay issues.
- Reviews coding and billing questions received from parents / patients and requests rebills, as appropriate, to assist with customer satisfaction. Takes actions to respond to Lurie Children's staff, parent, billing issues and billing company feedback.
- Processes and / or transfer refund requests for parents.
- Process and print itemize bills.
- Process, print and mail all collection letters.
- Initiates written and / or verbal inquiries with third party payers, patients and guarantors to secure payments of the balances due. Completes account documentation to provide a clear audit trail to support all collection activity. Exhausts all available resources in an effort to expedite the payment of account balances.
- Analyzes account detail and utilizes available resources (contract information) to ensure that proper reimbursement from third party payers has been calculated, received and / or is still due. Verifies that adjustments have been applied and the balance due is correct.
- Communicate with PFS / LCPC Account Service Representatives in order to resolve accounts. Documents actions taken and account statuses in the appropriate billing system so that all staff working an account are aware of the information.
- Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
- Other job functions as assigned.
Knowledge, Skills and Abilities :
Minimum two years of college with some background in healthcare or business-related courses preferred.Excellent customer service skills.Experience using and knowledge of Microsoft Office is mandatory. The ability to operate standard office equipment is required. EPIC experience preferred.Minimum of three years of business office experience in hospital or physician office setting with significant time spent in communication with patient or family and third-party payers.Knowledge of physician billing workflow, third party payer procedures, governmental regulations and managed care contracting to effectively understand and to respond to inquiries on patient accounts.Education :
High School Diploma / GED (Required)
Pay Range : $19.50-$30.23 Hourly
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.
In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs.
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes :
Medical, dental and vision insuranceEmployer paid group term life and disabilityEmployer contribution toward Health Savings AccountFlexible Spending AccountsPaid Time Off (PTO), Paid Holidays and Paid Parental Leave403(b) with a 5% employer matchVarious voluntary benefits :Supplemental Life, AD&D and DisabilityCritical Illness, Accident and Hospital Indemnity coverageTuition assistanceStudent loan servicing and supportAdoption benefitsBackup Childcare and EldercareEmployee Assistance Program, and other specialized behavioral health services and resources for employees and family membersDiscount on services at Lurie Children's facilitiesDiscount purchasing programAt Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.