*Hybrid Position - Will require 2 weeks of in person training before moving to hybrid schedule* 

General Summary:

Under general supervision and in accordance with established policies and procedures, is responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories:  Medicare, Medicaid, Blue Cross and Blue Shield, Commercial/Managed Care, Tri-Care, Worker’s Compensation, Schools, DSS/DJS, and Self-Pay.  Uses computerized patient information management and Paperless Claim System (PCS) imaging systems to initiate, complete follow up, and update patient accounts with data required for preparation of third-party claims and client statements. Post transactions, and bill insurance carriers/client and adjust third-party/self-pay data. Prepare and maintain required documentation. 

*The vast majority of this position involves interaction with insurance companies with only a very small percentage involving interaction with clinicians and patients.

Knowledge, Skills, and Abilities Required:

Work requires the ability to read, write, and speak English in order to effectively communicate with a wide variety of people regarding billing policies and procedures and patient account issues; to perform arithmetic computations; to adjust debits and credits; and to type at acceptable levels of speed and accuracy in order to compose and proofread business correspondence acquired through a generalized high school education or by a relatively brief (six months or less) period of intensive training outside of high school in basic accounting or bookkeeping. Work requires knowledge of billing practices and procedures, collections, third-party payer and Universal Billing requirements, and third-party reimbursement procedures; familiarity with computerized billing/document imaging systems; ability to effectively and efficiently collect from third-party payers; files claims, performs perorations, makes recommendations regarding delinquent accounts, and operates common office equipment (i.e., PC calculator, etc.) normally acquired through six to twelve months' experience in related billing and health insurance work.

Benefits:

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program

Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.