A Roman Catholic facility founded by the Religious Hospitallers of St. Joseph and sponsored by Catholic Health International, St. Bernard Hospital and Health Care Center aspires to live the healing mission of Christ within the South Side community of Chicago. The mission calls us to care for the sick and promote the health of the residents in the community while witnessing the Christian values of respect, dignity, caring and compassion for all persons.

We are seeking a Verifier that will be responsible for the administration of financial records of patients prior to submission of claims to third party agency/payers. This position is responsible for maintaining statistical information on Medicare patients.

Qualifications

• High school diploma or GED and Patient Accounts Representation Certification
• Minimum of three (3) years of collection and billing experience. Minimum of one (1) year of medical terminology experience. Knowledge of Medicare, Medicaid, Commercial and Managed Care guidelines. Knowledge in the operation of CRT/personal computer.

Responsibility Highlights

• Verify patient financial documents. Receive, verify, and cross-reference financial documentations of patients daily.
• Check accuracy entered in HCIS, correct/change after appropriate interviews and/or investigation. Disseminate corrected information as necessary.
• Refer accounts for MA-NG, or other applications as necessary.
• Verify, pre-certify, notify of admission and benefits, as required.
• Follow-up on pending information/authorization as needed for approval.
• Notify departments of insurance information changes and/or requirements for certification/authorization.
• Interview patient or representative to develop insurance information, as necessary.
• Maintain collection notes in HCIS on each individual account.
• Scan, as necessary, any additional information to maintain integrity of account.
• Maintain Admission/Discharge logs.
• Act as back-up MA-NG Coordinator.
• Assist in other areas.
• Work as a team player to provide quality patient care, direct or indirect. Within the scope of licensure, each employee will assist other team members in accomplishing their job duties in order to complete tasks.
• Hold self and team members accountable for knowledge of full compliance with customer service performance standards as listed on all team members’ job descriptions. Customer is defined as patient, physician, visitor, fellow employee, volunteer, supplier, and payer.
• Participate in planning and in the efficient, effective management of resources.
• Support performance improvement and compliance.

Job Type: Full-time

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: One location

Please Note :
www.epokagency.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.epokagency.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.