Advocate Health
Healthcare
AdvancedPaymentSpecialist
“Advanced Payment Specialist at Advocate Health. Skills: Patient billing, Denial analysis, Credit balance reporting. Prepare reports of denials, credit balances, payer opportunities. Analyze rejection reports and errors”
Industry & Context.
Critical thinking; Root cause analysis
Sitting for long periods, Bending, Lift-up to 10 pounds occasionally
What They're Looking For.
Must Have
High school diploma or GED required, Two-years' experience in related financial services or healthcare business office required, Ability to communicate effectively in verbal and written formats
Nice to Have
College (bachelor's or associate) degree preferred, Proficiency in Word, Excel and Outlook preferred, Prior healthcare computer system and specifically Epic billing experience preferred
What You'll Do.
Prepare reports of denials
Analyze rejection reports and errors
Request system changes
Report error rates by teammate
Collaborate with training for improvement
Prepare Medicare/Medicaid quarterly credit balance reports
Assist Supervisor/Manager with quality checks
Perform quality assurance tasks
Validate workflow builds
Validate claim edit actions
Validate automatic actions in Epic
Validate process improvements
Analyze denial reasons provided by payers
Collaborate with management to identify denial root causes
Collaborate with management to trend denial root causes
Collaborate with management to address denial root causes
Research and analyze payer trends
Work on special projects involving aged accounts
Work on special projects involving high dollar accounts
Work on special projects involving complex account issues
How You'll Work.
Team & Collaboration
Collaborate with training; Collaborate with management
Communication Scope
Verbal formats; Written formats
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