This job was posted by https://illinoisjoblink.illinois.gov : For moreinformation, please see:https://illinoisjoblink.illinois.gov/jobs/11611364 By joining our team,you\'ll be part of our life-changing Mission and Vision. You\'ll work ina truly inclusive environment where diversity and equity are championedthrough words and actions. You\'ll contribute to an innovative culturethat is second to none, one that embraces curiosity, discovery andcompassion. You\'ll play a role in something that\'s never been donebefore as we integrate science and clinical care to help patientsachieve better, faster outcomes - as we Advance Human Ability, together.

　　Job Description Summary

　　The Appeals Coordinator will work to ensure timely and accuratedisposition on accounts receivables for Shirley Ryan AbilityLab. TheAppeals Coordinator will perform functions that assist in reducing theopen receivables, including complex billing, collections, and appeals,ensuring compliance with insurance payers, Shirley Ryan AbilityLabpolicies and good customer service to our patients.

　　The Appeals Coordinator will consistently demonstrate support of theShirley Ryan AbilityLab statement of Vision, Mission and Core Values bystriving for excellence, contributing to the team efforts and showingrespect and compassion for patients and their families, fellowemployees, and all others with whom there is contact at or in theinterest of the institute.

　　The Appeals Coordinator will demonstrate Shirley Ryan AbilityLab CoreAttributes: Communication, Accountability, Flexibility/Adaptability,Judgment/Problem Solving, Customer Service and Core Values (Hope,Compassion, Discovery, Collaboration, & Commitment to Excellence) whilefulfilling job duties.

　　Job Description

　　Appeals Coordinator

　　Contacts payors via phone and leverages payor websites to gatherinformation regarding outstanding payments on claims until accountis resolvedCommunicates with payors to resolve all pending and denied claims,requiring appealsReview and analyze denial responses to determine appropriate nextsteps to resolveWhere a full appeal is necessary, receive electronic transfers ofthe account from the Reimbursement Coordinators or other team memberfor review and action to complete the appeals processEnsure all work is documented within the Cerner system and using theappropriate assigned work queuesIn collaboration with the clinical departments, patient access,medical records, and other applicable departments to gather andcollate all documentation to adequately support the appeal to thepayorDocuments and submits all appeals to the payor who denied the claimCompliant with HIPAA and other State and Federal regulationsFollow and adhere to all regulations and guidelines set by stateprograms and other commercial payorsPerform all other duties that may be assigned in the best interestof Shirley Ryan AbilityLabReporting Relationships

　　Reports directly to the Director of Payor RelationsKnowledge, Skills & Abilities Required

　　Educational level appropriate with what is typically gained throughthe acquisition of a High School Diploma.Minimum 3 year of experience with hospital billing and/or collectingfrom health insurance carriersKnowledge of governmental billing regulations preferredPrevious experience with insurance collections and follow-up inhealthcare settingPrevious experience investigating and formulating a documentedresponse to applicable payorFamiliar with UB-04 and HCFA 1500 billing regulationsAbility to build relationships with insurance carriers andrepresentativesAbility to build relationships with other upstream departmentswithin Shirley Ryan AbilityLabUnderstand business implications of decisionsMaintain a l production standards as outlined for assigned workAbility to keep up to date with insurance billing regulation changesas assignedAbility to quickly learn to bill specific financial classes/Payorsas assigned as assignedStrong verbal and written communication skillsAbility to perform basic mathematical functionsWorking Conditions

　　Normal office environment with little or no exposure to dust orextreme temperature.Some roles will have access to work remotely, and will be determinedthrough the hiring and training processesThe above statements are intended to describe the general nature andlevel of work being performed by people assigned to this classification.They are not intended to be construed as an exhaustive list of allresponsibilities, duties and skills required of personnel so classified.

　　Equal Employment Opportunity

　　ShirleyRyan AbilityLab is an equal opportunity/affirmative actionemployer. All qualified applicants will receive consideration foremployment without regard to sex, gender identity, sexual orientation,race, color, religion, national origin, disability, protected Veteranstatus, age, or any other characteristic protected by law.