Employment Type:

Shift:

Description:

At Loyola, we know you’re more than your job. We see you and all your potential. That’s why we invest in our people. Flexible scheduling, tuition reimbursement and day one benefits… at Loyola, what’s important to you, is important to us. Join our family.

• Benefits from Day One
• Daily Pay
• Competitive Shift Differentials including charge and preceptor roles
• Career Development
• Tuition Reimbursement
• On Site Fitness Center (Gottlieb Memorial Hospital & LUMC)
• Educational Stipend
• Certification reimbursement (up to 1 certification)
• Referral Rewards

Shift 7:00am-3:30 M-F no Weekend

Job Summary:

In this role, the Collection Specialist ensures accurate and timely insurance and self-pay follow-up of payments due for Loyola University Medical Center physician services. The Specialist contacts government and third-party payers to re-submit insurance claims, appeal denied claims, make payment arrangements, and processes unpaid claims until resolution. Initiates contact with patients to coordinate benefits, make self-pay arrangements, or initiate Medicaid and/or charity care applications. The Specialist strives to minimize write offs and maximize collections by prioritizing work and maintaining productivity and quality standards.

Position Responsibilities:

• DENIALS - Prioritizes and manages time efficiently to complete assigned work queues and special projects. Performs complete and timely follow-up on claims that have been rejected or denied by the insurance carrier until the invoice is resolved to a zero balance. Meets productivity and quality standards by accurately appealing denied claims. Performs appeals and reviews according to assigned payors following correct claim appeal guidelines. Works to collect outstanding insurance balances and identifies other payors where possible. Contacts patients or insurance representatives via phone or computer system to coordinate benefits. Notifies Manager when insurance plans deny or challenge medical necessity of services and coordinates with the Coding Team to obtain letters of medical necessity and feedback on coding related denials. Works to minimize write-offs by adhering to write off standards and policies. Requests write- offs as necessary after thorough research and review of the invoice/account has been completed. Documents collection activities in the physician billing system. Follows correct notation format and utilizes standard abbreviations when placing notes in Epic and IDX. Completes note in Epic and IDX identifying the invoice, the name of the insurance rep, the reason why the claim denied – (specifying the cpt code or diagnosis code as necessary) and action taken on the invoice/account.

Position Requirements

Minimum Requirements:

• Administrative or technical background acquired through completion of 2 - 3 years of college

• 3-5 years of previous job-related experience

• Details: Prior experience in accounts receivable, insurance denial management, or insurance follow-up in a physician billing office required.

Preferred:

• Associates Degree

• 6-10 years of previous job-related experience

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.