JOB REQUIREMENTS: Overview Specialty Group Rep, Patient FinancialServices, Days, 80 Hrs/2 wks Location: Janesville, WI, OR Rockford, ILOR hybrid remote Schedule: Monday - Friday; flexible work scheduleavailable after training period Responsible for billing and resolvingall balances on Workers Compensation, Third Party Liability, Hospice,Skilled Nursing Facilities, Occupational Health and other specialtyservice accounts in the hospital and physician billing systems, inaddition to handling all inbound calls and making outbound calls relatedto these areas. This representative will have knowledge of all aspectsof revenue cycle processes from the registration process through thebilling and collection process. Performs other duties as assigned.Responsibilities Essential Duties and Responsibilities Research andpreform audits on patient accounts to determine balances are beingbilled to the correct payer. Thorough understanding of how to identifyif charges on a patient\'s account are correct. In depth understandingof what information is available to assist in the process, such as themedical records, chart view, MPI, etc. In-depth understanding ofcollection laws pertaining to worker compensation and third partyliability claims. Become fluent and knowledgeable in the Single BillingOffice environment within Epic Maintains a working knowledge of commonbilling and account resolution practices and requirements for hospitaland/or clinic billing (SBO). Knowledge of how to work a claim frombeginning to end Learn and create in-depth knowledge of all applicationsused by Patient Financial Services partners such as: Epic, Agility,Connex, Kronos, OneSource, Microsoft Word, Microsoft Outlook, Claimsource, On-Base, etc. Identifies the correct filing order per departmentprocesses when multiple insurances are involved Responds to inquiriesfrom patients, insurance companies, attorney offices and outside vendorsvia mail, phone and/or email. Responds to inquiries regarding creditbalances on Workers Compensation, Third Party Liability, Hospice,Skilled Nursing Facilities and Occupational Health accounts andinitiates the refund process in the event monies are due back to thepayer or patient. Responds to Billing reviews/ inquiries from other PFSgroups such as Billers, Follow-up, Cash posting and Customer Service.Documents all encounters on appropriate patient account/claim utilizingnotes. Ensures account is updated to accurately reflect the currentstatus. Protects privacy and confidentiality of customers, patients andpartners in accordance with Mercyhealth policies, the Code of Ethics andHIPAA laws. Review all Work Comp, TPL and personal injury settlementrequests before sending them to the Supervisor. Work special projectsand other job duties as assigned Verifies claims... For full infofollow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equalemployment opportunity employer functioning under Affirmative ActionPlans. ***** APPLICATION INSTRUCTIONS: Apply Online:ipc.us/t/DB0BF54EA27841F2