Billing Coordinator- Ophthalmology Clinic, Full time, Days

Benefits

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Pay Starting at: $18.06+ per hour based on experience

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

• Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
• Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Description

*** REQUIRED Knowledge of insurance billing procedures, ICD and CPT coding. ***

The Billing Coordinator, Ophthalmology reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

• Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
• Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and Ophthalmology clinic billing policies and procedures.
• Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans.
• Works closely with the staff on managed care and referral related issues and communicates findings to patients.
• Coordinates the pre-certification process with the clinical staff.
• Handles billing inquiries received via telephone or via written correspondence.
• Responsible for thoroughly investigating and understanding financial resources or programs that may be available to ophthalmology patients and educating staff and patients about these programs.
• Conducts pre-certification for appropriate tests or procedures and facilitates the process with managed care and the clinical team.
• Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to pre-certification.
• Performs activities and responds to patient inquiries related to billing follow-up.
• Requests necessary charge corrections.
• Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
• Performs administrative activities and projects.
• This role may support additional projects, perform administrative tasks, and other duties as assigned.
• AA/EOE.

Qualifications

Required:

• 1-3 years of experience with physician/healthcare billing/registration/accounting and/or overall patient financial counseling.

• High school diploma or GED equivalent.
• Knowledge of insurance billing procedures, ICD and CPT coding.

• Expertise with third party payors.
• Computer skills: Systems utilized include Microsoft Office (specifically Excel)

Preferred:

• Associate’s degree from an approved Health Information Management program or CCSP.
• Bachelor’s degree.
• Experience with EPIC/EMR

Equal Opportunity

Addendum 1: Ophthalmology Clinic

• The Billing Coordinator, Ophthalmology is responsible for assisting patients with billing and insurance matters related to specialized services rendered in the clinic. This position will require a thorough understanding of the specific ophthalmic procedures performed within the ophthalmology clinic, and will use that knowledge in order to seek maximum reimbursement on behalf of the organization through various external and internal programs and payment plans. Additionally, this person will assist patients with payment of their bills by establishing payment plans when complete insurance coverage is not available. This position will also be responsible for providing education and support to patients and the Ophthalmology staff regarding financial policies. The Billing Coordinator will also perform charge audits to ensure proper documentation and coding are utilized to optimize reimbursement/RVUs.

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.