Midwest Orthopaedics at Rush, with locations in Chicago, the Western Suburbs and Northwest Indiana, is nationally recognized as a leader in comprehensive orthopedic services. The physicians of Midwest Orthopaedics at Rush have received specialized training in orthopedic surgery and in subspecialty areas within the field of orthopedic medicine and can diagnose and treat the most complicated and rare musculoskeletal conditions.
The Orthopedic Program at Rush University Medical Center is ranked fourth nationally by U.S. News and World Report. Midwest Orthopaedics at Rush doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, and the Chicago Fire Soccer Club.
We are looking for a Medicaid Reimbursement Specialist at our Westchester, IL location, who would report to our Manager of Reimbursement. We offer competitive compensation and a comprehensive benefits package.
Essential Duties and Responsibilities
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.
Experience in working with Medicaid of Illinois and Medicaid Managed Care Plans.
Education and/or Experience
High school diploma or equivalent; Accounts Receivable/Collection experience in Medicaid preferred. Experience in an Orthopaedic practice a plus