Under general supervision, computes, bills, posts, and collects patient accounts. Possesses ability to elicit and evaluate information, sometimes of a highly personal and sensitive nature from a broad spectrum of individuals and agencies; maintains confidentiality; reads, interprets, and applies regulations, policies, and procedures; works with minimal supervision and with extensive detail; coordinates functions and works cooperatively with others; and organizes work and set priorities to meet deadlines. Performs all other duties as assigned by Centralized Billing Director. Special Qualifications Computer literate. High school diploma with secondary school preferred. CPC Certification preferred. Knowledge of business office functions and third party payor billing, including reimbursement methods and requirements preferred. Customer service and proper telephone etiquette required.

Wage Range: $28.83 - $46.14 per hour Healthcare medical billing and reimbursement Remote in Washington State only Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary: Responsible for the identification, appeal, resolution and reporting of all third-party payer claim denials at EvergreenHealth. Must have the ability to communicate and coordinate effectively with all levels of the institution and payer representatives. Responsible for analyzing denial activity to identify trends and denial sources and assists with the development of reports needed to investigate denial issues. Prepares, compiles, distributes and analyzes regular reports of denials and the financial impact. Primary Duties: 1. Identifies and captures claims denials from third-party payers in denial tracking software and/or alternative denial tracking tools on a daily basis and updates throughout the appeal process as activities and responses occur. 2. Responsible for the submission of written letters of appeal to third-party payers within allotted timeframes to prevent financial penalties. 3. Works with Case Management, Health Information Management and Patient Financial Services to gather supporting documentation to strengthen the appeals process. 4. Maintains contact with payers about disputed claims and updates system documentation of ongoing efforts for each claim. 5. Generates reports of denial activity including but not limited to analysis of trends, financial impact, success rate of appeals and root causes. Submits reports to the Director of Revenue Integrity on a monthly basis and as needed. 6. Monitors private payer resources and websites to identify changes in payer requirements and incorporates into denial management processes. Distributes relevant updates to other departments (e.g. Patient Access, PFS, etc.) as necessary. 7. Performs other duties as assigned. License, Certification, Education or Experience: REQUIRED for the position: ● Associate's degree in related area or equivalent combination of education and experience ● 3 years of experience in a hospital or insurance industry setting ● High degree of knowledge regarding health care services reimbursement methodologies ● Knowledge of claim forms and remittance advices including coding and billing practices ● Experience in healthcare billing and reimbursement ● Ability to interpret contract language ● Working knowledge of medical terminology DESIRED for the position: ● Bachelor's degree ● Proficiency in Cerner and Meditech systems Benefit Information: Choices that care for you and your family At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being. - Medical, vision and dental insurance - On-demand virtual health care - Health Savings Account - Flexible Spending Account - Life and disability insurance - Retirement plans (457(b) and 401(a) with employer contribution) - Tuition assistance for undergraduate and graduate degrees - Federal Public Service Loan Forgiveness program - Paid Time Off/Vacation - Extended Illness Bank/Sick Leave - Paid holidays - Voluntary hospital indemnity insurance - Voluntary identity theft protection - Voluntary legal insurance - Pay in lieu of benefits premium program - Free parking - Commuter benefits View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below. EvergreenHealth Benefits Guide

Total Rewards "Your life - our Mission" OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Expected pay for this position is $20.21 - $23.77/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position. Overview This is a remote work from home position, must reside in IL or MI. Would need to be able to travel to the office for training in Peoria and for other required, rare occasions. Occasional in office attendance will be required. POSITION SUMMARY: The Patient Financial Navigator ensures that each patient has a complete and accurate OSF medical record, which includes patient demographics, insurance coverage, responsible guarantor, and registration precision in a manner which the patient understands the services they are receiving, their financial responsibilities for the services provided, and expectations of them pre and post service. Financial education will be provided to patients to provide clarity regarding their estimated out of pocket expenses and assistance with bill pay options. The Patient Financial Navigator is expected to be knowledgeable on payment alternatives, grants, programs, and any other type of assistance to educate and support the patient on their financial options. This involves determining a patient's payer source including, but not limited to, obtaining authorization from the payer which includes identifying if services need an authorization, referral, or pre-determination as well as if the procedure is a covered benefit, if the payer is out of network, and be able to assist the patient who has questions on an existing bill or invoice. They must be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments. Qualifications REQUIRED QUALIFICATIONS: Experience: Associate's Degree and one year of customer service/relations experience; or High School Diploma and 2 years' experience in a call center, healthcare, and/or public health setting. Other skills/knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem solving skills, with the ability to be detail oriented. PREFERRED QUALIFICATIONS: ​Education: Bachelor's Degree in Business Administration or Healthcare related field. Experience: Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background. Experience in medical billing, including working with insurance companies, third party administrators and collections with emphasis on customer phone contact. Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers. Knowledge of medical terminology. OSF HealthCare is an Equal Opportunity Employer.

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URCB 209 H Compensation Range: $25.79 - $36.11 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations. Responsibilities: Oversees office operations, assists in administering personnel related duties, and acts as the liaison with hospital staff. Coordinates the daily work of subordinate staff and resolves coding problems. Performs duties with an advanced knowledge of department coding policies and procedures. ESSENTIAL FUNCTIONS - Supports priorities assigned by designated leader. Acts as a resource to staff. Serves as a focal point for answering questions and solving problems for subordinate staff and researching coding questions on difficult records. Keeps current on relevant areas of knowledge. - Ensures accuracy of coding by performing ongoing data quality checks on Coding staff and reporting findings to designated leader. Ensures corrections are made, and in conjunction with designated leader, analyzes data output to identify coding problems and participates in corrective action as needed. - Responds to non-routine and complex requests, inquiries or problems. Resolves complex problems that require a high level of expertise and knowledge of clinical coding, charge capture, charge entry, and systems. Investigates and resolves matters of significance on behalf of designated leader. - Assists in personnel related matters such as time reporting, preparing performance evaluations, and interviewing applicants. Trains new staff and assigns work. Coordinates daily staff assignments and assigns staff to accommodate daily office priorities to ensure quantity goals. - Cultivates and maintains professional relationships with internal customers and external vendors within area of responsibility and across the organization as appropriate. - Other duties as assigned MINIMUM EDUCATION & EXPERIENCE - High School diploma or equivalent and 3 years of experience as Medical Coder required - Associate's degree preferred - Or equivalent combination of education and experience KNOWLEDGE, SKILLS AND ABILITIES - Knowledge of ICD-10CM, CPT and HCPSC required - Working knowledge of medical terminology and anatomy required LICENSES AND CERTIFICATIONS - American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred - Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.