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Insurance Representative
Saint Anthony Hospital
Billing and follow-up of patient accounts receivable for a community-centric hospital
16d ago
Expert & Leadership (13+ years), Junior (1-3 years)
Full Time
Chicago, IL
Onsite
Company Size
346 Employees
Service Specialisms
Healthcare Services
Emergency Care
Outpatient Services
Surgical Services
Cardiology
Orthopedics
Maternity Care
Laboratory Services
Sector Specialisms
Cardiology
Diabetes
Ear, Nose and Throat (ENT) / Otolaryngology
Family Practice
Gastroenterology
General Surgery
Gynecology
Internal Medicine
Role
What you would be doing
claims editing
denied claims management
claims automation
policy enforcement
balance collection
report management
- Researches, edits/corrects and transmits any claims rejected by the claims editing software in order to submit them timely to the appropriate intermediary, which may include Medicare, Blue Cross, managed care commercial, and other carriers.
- Works denials ($0 payment) from third party payers (via voucher, correspondence, or electronic posting) to correct and re-bill all claims prior to claim filing deadlines. Accounts that cannot be re-billed should be appealed according to the payers guidelines. Reviews and resolves correspondence related to assigned workload to obtain payment. Compiles all credit balance or refund reporting for Medicare and Medicaid.
- Responsible for initiating automated claims processing activities using claims editing software for all CHP claims in an efficient, accurate and time conscious manner.
- Effectively communicates and enforces SAH/CHP payment, charity, bad debt, and other write off policies. Posts write offs and adjustments in the system in accordance with SAH policies and procedures.
- Collects all outstanding third party balances due to SAH/CHP within the workload assigned while complying with all applicable collection laws and regulations. Contacts third party payers by telephone or electronically to resolve unpaid balances due from the payers.
- Effectively utilizes collector workstation and other system functionality to prioritize, allocate, and report work. Completes daily and weekly management and productivity reports as required. Documents activities as appropriate in the collection notes and workstation of the system.
- Performs billing, follow-up and collection activities on patient accounts receivable owed to Saint Anthony Hospital/CHP for services rendered while maintaining daily and weekly productivity standards established within the PFS department for this position.
- Assists with claims download from host system. Prepares and prints daily and weekly production, management and system reports as required. Ensures that claims are transmitted electronically each day to the appropriate payer. Ensures that clams that cannot be billed electronically are printed and mailed as needed.
What you bring
cms
medicaid
associates degree
billing experience
contracts
system support
- Knowledge of CMS, Medicaid, Managed Care, and Commercial billing and collection laws, guidelines, and regulations.
- High school diploma: Associates Degree highly preferred.
- 1 to 3 years of billing experience.
- Ability to read and understand provider contracts.
- Knowledge of system support issues that affect billing, collection, and cash application functions.
- Saint Anthony Hospital offers competitive wages and a comprehensive benefits program for employees and their families.
Information not given or found
Interview process
Information not given or found
Visa SponsorshipInformation not given or found
Security clearance- credit and criminal background checks may be required
Company
Overview
Founded 1897
Year Founded
Established in 1897, the company has a long-standing presence in Chicago's healthcare community.
151 Beds
Beds Available
The hospital features 151 beds, providing comprehensive acute-care services to the community.
2019 Certification
Perinatal Certification Year
Recognized for its specialized perinatal care, achieving certification in 2019.
2018–19
Innovation Awards
Awarded for innovation in healthcare services during 2018 and 2019.
- Evolved from a local faith-based clinic into a full acute-care community hospital.
- Delivers high-quality, cost-effective services consistently ranking in Illinois’ top hospital percentiles.
- Offers Level I trauma, pediatric emergency care, stroke center, and primary stroke designations.
- Provides acute care, psychiatric inpatient/outpatient programs, dual-diagnosis support, prenatal education, and community wellness outreach.
- Specializes in emergency and trauma response, psychiatric and behavioral health, and comprehensive maternal and newborn care.
- Recognized as a community children’s hospital with expertise in perinatal care.
- Pioneers community wellness through social services, language access, and culturally tailored mental-health groups.
- Collaborates with medical schools and health systems, blending academic research with grassroots care.
- We don't turn away anyone, and we're very proud of that fact.
- Caring for all, regardless of financial status.
- Commitment to 'above‑and‑beyond effort … integral to treating the whole person.'
- Strong work ethic among employees and leadership team.
$150,000 Grant
Chicago Climate Grant
Funded the procurement of electric vehicles and charging stations for free patient transportation.
3 Electric Vehicles
Electric Fleet Deployment
Implemented Chicago's first hospital fleet for patient transport.
72.6% Capture Rate
Pulse Oximetry Sensors
Achieved a remanufacturing rate above the national average for medical devices.
500+ Hospitals
Sustainability Recognition
Named a Sustainability Champion in the Midwest region.
- Track air quality impacts from demolition and construction for the Focal Point Community Campus.
- Develop affordable housing, wellness, education, and sustainable community development across a 30-acre campus.
Charity Care Rises
$4.9M to $6M
Charity care funding increased significantly in fiscal year 2010, reflecting the organization's commitment to supporting vulnerable populations.
Community Benefits Grow
$15M to $18M
Total community benefits expanded by $3 million, indicating broader societal impact and support initiatives.
- We don't turn away anyone … even though our patients are among the poorest in the city and many are undocumented.
- Operates community wellness program: weekly family support groups, mental-health services, case management, healthcare-access assistance, free pregnancy testing—serving Back of the Yards, North Lawndale, Little Village, Brighton Park, Pilsen, etc.
- No publicly listed gender-related statistics or specific gender-diversity outcomes found.
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