Experienced Billing Follow Up Representative - Non-Government Billing Operations in Wisconsin

Join Our Collaborative Team as a Billing Follow Up Representative! Are you a detail-oriented and organized individual with a passion for billing and reimbursement? Do you have a strong analytical mindset and excellent communication skills? We're looking for a talented Billing Follow Up Representative to join our dynamic team in Non-Government Billing Operations in Wisconsin. As a key member of our team, you'll play a crucial role in ensuring maximum reimbursement and driving success in our billing operations. At Advocate Aurora Health, we're committed to delivering high-quality patient care and exceptional customer service. Our billing operations team is an integral part of this mission, and we're seeking a skilled professional to join our team. Whether you're based in our remote hub or working remotely, you'll be part of a collaborative and supportive team that values diversity, equity, and inclusion. Major Responsibilities Independently review accounts and apply billing follow-up knowledge to ensure proper and maximum reimbursement from all insurance payors, using multiple systems to resolve outstanding claims according to compliance guidelines. Perform pre-billing and billing activities on open insurance claims, exercising revenue cycle knowledge, including CPT, ICD-10, and HCPCS, NDC revenue codes, and medical terminology. Communicate timely and accurately with internal teams and external customers, including third-party payors, auditors, and other entities, to validate and correct information. Comprehend incoming insurance correspondence and respond appropriately, identifying patterns and trends related to coding and compliance, contracting, claim form edits/errors, and credentialing. Accurately enter and update patient/insurance information into the patient accounting system and appeal claims to ensure contracted amounts are received from third-party payors. Maintain Key Performance Indicators (KPIs) for assigned payers within departmental standards and insurance guidelines. Compile information for referral of accounts to internal/external partners as needed and maintain clear, accurate online documentation of all billing and follow-up activities. Demonstrate proficiency in using software systems employed by Advocate Aurora Health and adhere to company policies and departmental collections policies and procedures. Minimum Education and Experience Required To be considered for this role, you typically need: 1 year of related experience in a medical/billing reimbursement environment or an equivalent combination of education and experience. A High School Diploma or General Education Degree (GED). Essential Knowledge, Skills, and Abilities (KSA) To succeed in this role, you'll need: The ability to work independently with limited supervision and meet productivity and quality standards. Basic keyboarding proficiency and the ability to operate computer and software systems used at Advocate Aurora Health. Effective communication skills to obtain basic information via telephone or in person. The ability to read, write, speak, and understand English proficiently. The ability to read and interpret documents such as explanation of benefits (EOB), operating instructions, and procedure manuals. While not required, having knowledge of medical terminology, coding terminology (CPT, ICD-10, HCPC), and insurance/reimbursement practices is preferred. Career Growth Opportunities and Learning Benefits At Advocate Aurora Health, we're committed to helping our employees grow and develop in their careers. As a Billing Follow Up Representative, you'll have opportunities to: Develop your skills in billing and reimbursement, revenue cycle management, and insurance operations. Enhance your knowledge of medical terminology, coding, and insurance practices. Build strong relationships with internal teams and external customers. Contribute to process improvements and implement best practices in billing operations. Work Environment and Company Culture At Advocate Aurora Health, we value a culture of collaboration, diversity, and inclusion. As a remote or hub-based employee, you'll be part of a supportive team that prioritizes: Employee well-being and work-life balance. Professional development and growth opportunities. Recognition and rewards for outstanding performance. A culture of safety, quality, and compassion. Compensation, Perks, and Benefits We offer a competitive salary and a comprehensive benefits package, including: Medical, dental, and vision insurance. Retirement savings plans and employee stock purchase programs. Paid time off and holidays. Opportunities for professional development and continuing education. Ready to Apply? If you're a motivated and detail-oriented individual with a passion for billing and reimbursement, we encourage you to apply now! We're excited to review your application and discuss how you can contribute to our team's success. To apply, please click the link below: We look forward to hearing from you! Apply for this job