Revenue Cycle Account Billing Specialist 2
Carle Foundation Hospital
 Champaign, IL
  • Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist 1.
  • Handles complex edits and advanced level tasks such as but not limited to EOB balancing, credit adjustment review and processing of Illinois Worker's Compensation Commission (IWCC) accounts.
  • Handles escalated account activities such as but not limited to bankruptcies, bad debt, risk management, estate claims, fraud cases, Healthcare Liens and attorney requests.
  • Handles escalated appeals.
  • Responsible for sending and balancing bad debt files to outside collection agency.
  • Assists with training and education to staff for accuracy.
  • Identifies payer and system issues to initiate project requests for process improvements.
  • Retrieves and imports electronic payment files and processes manual payments from patients and insurance carriers.
  • Reviews and requests or processes and posts adjustment requests.
  • Handles credit balances according to organization's credit balance/refund policy.
  • Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus.

Proficient in Revenue Cycle Account Billing Specialist 1 responsibilities. Additionally, acts as a billing and reimbursement expert for defined payer product lines. Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and account activities such as bankruptcies, risk management, bad debt, lien adjudication and settlement and refund requests. Responsible for downloading, reviewing, interpreting and storing payment remittance advice in order to post insurance payments, denials, transfers and adjustments.