Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

Job Description

Job Description

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits : from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes :

Audit of CPT codes associated with each procedure

• Confirmation of supplies used and verification of alignment with operative notes
• Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
• Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
• Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
• Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
• Handles billing inquiries received via telephone or via written correspondence.
• Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
• Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
• Performs activities and responds to patient inquiries related to billing follow-up.
• Requests necessary charge corrections.
• Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
• Provides guidance regarding clinical documentation to optimize charges and RVUs
• Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.

The  Billing Coordinator   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.

The Billing Coordinator is responsible for processing charges, payments and / or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions.  Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.

RESPONSIBILITIES :

Department Operations

Communication and Teamwork

Service Excellence

Qualifications

Required :

Preferred :

Additional Information

Northwestern Medicine is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.