Reimbursement Specialist - Liability

Reimbursement Specialist

Midwest Orthopaedics at Rush is nationally recognized as a leader in comprehensive orthopedic services. The Orthopedic Program at Rush University Medical Center is ranked Top 10 in Orthopedics by U.S. News and World Report. Founded in 2003, MOR is comprised of internationally renowned Orthopedic and Spine surgeons who pioneer the latest advances in technology and surgical techniques to improve the lives and activity levels of patients around the world. MOR doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics.

We are looking for a Reimbursement Specialist at our Corporate office in Westchester, IL. This position will assist patients, attorney's and insurance companies with account questions and ensure they understand the billing statements and processes while providing the highest level of customer care. The ideal candidate must have excellent interpersonal and communication skills and ability to work independently and as part of a team in a fast-paced environment. This position will be a hybrid role after an approximate two-week in-person training.

Essential duties and responsibilities include the following:

• Answer incoming calls into call center and assist patients/insurance companies with account questions in a courteous and timely manner. Ensure patient/insurance companies understand the billing statements and processes to provide the highest level of customer care.
• Facilitate follow-up communications with insurance companies and patients regarding claim/payment status through practice management system and reporting tools.
• Document all actions and maintain a permanent record of patient accounts to ensure a sufficient audit trail
• Review and adjust balances according to fee schedules and management/MD requests, able to verify that claims have processed correctly by the insurance plan.
• Research and obtain necessary documentation for insurance companies to process outstanding claims.
• Identify denials and appeal with proper documentation within a timely manner to secure payment.
• Answers patients' questions regarding statements and insurance coverage. Telephones or emails payers for follow up on outstanding claims.
• Other duties as assigned.

Education and/or experience:

• High school diploma or general education degree (GED)
• Minimum of 2 years Accounts Receivable/Collection experience in Motor Vehicle Accident/Personal Injury; preferably in an Orthopedic practice

What's in it for you? MOR offers their employees a comprehensive compensation and benefits package.

Pay Range: $23.00 $27.00 per hour. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity. Base pay is only a portion of the total rewards package.

• Quarterly bonus eligibility.
• Medical, Dental and Vision Insurance.
• Paid Time Off and Paid Holidays.
• Company-paid life and long-term disability insurance.
• Voluntary life, AD&D, and short-term disability insurance.
• Critical Illness and Accident Insurance.
• 401(k) Savings Plan.
• 401(k) Employer Contribution.
• Pet Insurance.
• Commuter Benefits.
• Employee Assistance Program (EAP).
• Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA).
• HSA Employer Contribution (when enrolled in a HDHP).
• Tuition Reimbursement.
• Excellent working relationship with prestigious group of physicians in Orthopedics in the US and #1 in Illinois and Indiana.

Our employees make the difference in our patients' lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we're all about.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.