UnityPoint Health Insurance Credit Specialist in Peoria, Illinois

Our team members are the compassionate core of who we are and how we serve. Every day we strive to live out our vision statement of “Best outcome every patient every time” through living out our FOCUS values of Foster Unity, Own the Moment, Champion Excellence, and Seize Opportunities.

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation’s fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Insurance Credit Specialist

UnityPoint Health-Methodist Campus

Shift: Full-time

Summary:

This position is a working member of the team with daily expectations to coordinate with other team members to achieve operational targets and customer satisfaction. This position is for cash applications but may have responsibility on an as needed basis for job functions in billing, follow-up, or customer service. This job has the possibility of wotrking from home once training has been completed and productivity standards have been met.

  • INSURANCE CREDIT WQ’S

  • Monitors WQ’s on a daily basis and meets established targets.

  • Researches credits to determine if refund is warranted, payments should be applied, or if the account needs deferred for additional information.

  • Defers accounts for the appropriate timeframe depending on the issue and enters an appropriate note as to why the credit has been deferred.

  • Corrects posting errors or reaches out to the appropriate person when corrections are warranted.

  • E-MAIL DISTRIBUTION ROTATION

  • Monitors e-mails received during each scheduled weekly rotation.

  • Responds to e-mails that require a response within the established timeframe.

  • Handles account review requests within the established timeframe.

  • Responds within the established timeframe to refund requests that have been received.

  • Documents notes in the appropriate location(s) in the system when necessary.

  • INSURANCE REFUNDS

  • Processes deferred refund/recoup requests that come back to the active tab according to the refund policy.

  • Processes returned refund correspondence once follow up team has authorized for refund.

  • Processes online recoup refunds for payors that require electronic refunds.

  • Submits supporting documentation to accounts payable weekly for insurance refunds being sent by check

  • COMMUNICATION WITH CO-WORKERS/OTHER REGIONS

  • Respond to all e-mail requests in the expected timeframe in a professional and courteous manner.

  • Communicates e-mail requests for corrections or assistance on an account in a clear, concise and professional manner. Provides account #, patient name and DOS including screen shots when necessary.

  • Provides assistance to co-workers with credit/payment/PLB questions in a professional and timely manner.

Seeks assistance from leadership when questions arise regarding credit expectations/policies

Education:

  • High school graduate or GED equivalent required

Experience:

  • 1-3 years of experience in/with customer service, keyboarding, computer systems and office equipment, medical insurance billing and or cash posting Required.

  • 1-3 years of experience in/with working with governmental agencies, UB92/HCFA 1500 and other state billing forms Preferred.

Required English Skills

  • Basic reading skills

  • Basic writing skills

  • Basic oral skills

  • Communication Skills

  • Ability to respond appropriately to customer/co-worker

  • Interaction with a wide variety of people

  • Maintain confidential information

  • Ability to communicate only the facts to recipients or to decline to reveal information

  • Ability to project a professional, friendly, helpful demeanor

Computer Skills

  • Basic computer knowledge: Uses word processing, spreadsheet, e-mail application, and web browser. Comfortable within a Windows OS and learning new applications.

  • MS Office Apps

  • Windows Operating System

  • E-mail client

Requisition ID: 2018-52353

Street: 120 NE Glen Oak

Name: UnityPoint Health Clinic - Peoria

Name: Central Billing- UPC

FLSA Status: Non-Exempt

Scheduled Hours/Shift: 40/1ST

External Company URL: http://www.unitypoint.org