Full-Time Financial Assessor Patient Accounting

Job Summary

The Financial Assessor Patient Accounting reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities

• Meet productivity and quality standards in resolving claim edits, reporting candidates for bill, submitting claims, handling clinical documentation, and communicating regarding claims to ensure timely filing of clean, complete, and accurate claims.
• Meet or exceed productivity standards, targets, error ratios, and reporting requirements.
• Follow-up and collect third-party payer receivables, including denials and appeals with root cause analysis to prevent future denials.
• Follow-up with third-party payers regarding outstanding accounts receivable (statements, letters, emails, faxes).
• Support operations related to optimum third-party accounts receivable (Managed Care, Commercial, Medicare, Medicaid, etc.).
• Review work lists to ensure completion of all accounts.
• Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts.
• Recommend accounts for write-off and provide justification.
• Practice HIPAA privacy standards and ensure compliance.
• Contribute to team effort to achieve department accounts receivable goals.
• Identify opportunities for customer, system and process improvement.
• Follow NMHC general Policy and Procedures and Emergency Preparedness Procedures.
• Follow Joint Commission and outside regulatory agency mandates.
• Use assigned menus and pathways in the hospital mainframe system and report software application problems.
• Use assigned menus and pathways in external software applications and report software application problems.
• Use assigned computer hardware and report hardware problems.
• Participate in testing of assigned software applications, including field integrity verification.
• Assist with special projects and other duties as assigned.
• Attend training and seminars as assigned.

Additional Responsibilities

• Demonstrate excellent customer service through oral and written communication.
• Demonstrate proficient use of systems and execution of processes.
• Working knowledge of physician and facility billing and follow-up, including insurance rules and regulations (Medicare, Medicaid).
• Knowledge of HIPAA standards.
• Ability to perform mathematical calculations.
• Excellent communication skills.
• Basic knowledge of medical terminology and billing practices.

Requirements

• High School diploma
• One year related work experience or college degree
• Ability to perform mathematical calculations
• Basic knowledge of medical terminology and billing practices
• Extensive experience and knowledge of PC applications (Microsoft Office, Excel)
• Learn quickly and meet continuous timelines
• Exhibit behaviors consistent with principles of excellent service

Preferred

• Two or more years’ college or college degree
• Call center, telephone work experience or cash collections experience
• Knowledge of Epic Systems
• Two (2) years progressive work experience in a hospital/physician billing or SBO environment
• Detail-oriented, good organizational skills, and ability to be self-directed
• Strong time management skills, managing multiple priorities, and handling high-stress situations
• Flexibility to perform other tasks in a changing work environment
• High-level problem-solving, analytical, and investigational skills
• Excellent internal/external customer service skills

Equal Opportunity Employer

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment based on protected statuses.

Background Check

A background check will be performed if a job offer is made.

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