Position Overview The purpose of this job is to process all hospital services claims that fail billing edits in order to obtain prompt reimbursement. Responsibilities - Analyze, investigate, prioritize, and resolve the daily prioritized work queue error per department policy - Work prioritized system work lists based upon pre-determined sorting criteria - Assess claim errors and determine what is required to correct for submission - Clearly and concisely document account with all actions taken and status per departmental procedures - Maintain professional and positive contacts with other departments within the organization in rder to obtain critical information required for account resolution - Locate/obtain missing information or correct information on accounts in error and are not billable - Process secondary billng for Medicare and Medicaid claims on a daily basis - Remain current with government regulatory requirements for all hospital services (dialysis, inpatient, rehab, psych, DME, etc.) Qualifications - High School diploma required, bachelor's degree preferred - Minimum of 2 years of experience in healthcare financial setting required - Effective communicator as demonstrated through excellent and professional written and verbal skills - Proficient in Microsoft Office - Ability to build positive relationships with all internal or external customers - Ability to constantly evaluate and prioritize workload - Ability to quickly problem solve and identify appropriate issues for escalation to management - Knowledge of CPT coding practices, preferred - Working knowledge of billing requirements for Medicare, BC, Medicaid, Commercial, required NorthShore University HealthSystem (NorthShore) is an integrated healthcare delivery system consistently ranked as a Top 15 Teaching Hospital in the U.S. The NorthShore system, headquartered in Evanston, Ill., includes six award-winning hospitals – Evanston, Glenbrook, Highland Park, Northwest Community Skokie, and Swedish. NorthShore comprises three exemplary physician networks, totaling more than 4,250 doctors across immediate, primary, specialty and complex care; and 170 office locations and 35 immediate care centers. NorthShore has an established reputation with more than 17,000 team members system-wide. NorthShore is committed to excellence in its academic mission and supports teaching and research as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore was the first health system in Illinois to receive Magnet® designation—the highest, most prestigious honor that demonstrates excellence in nursing and high standards in patient care. The system earned Magnet re-designation in 2019. When you work for NorthShore, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. At NorthShore University HealthSystem, diversity, equity and inclusion are at the core of our mission to support our team members and patients - irrespective of race, ethnicity, age, gender, sexual orientation or socioeconomic status. We believe that by recognizing and embracing our differences we create an organization that welcomes all to contribute and grow. We invite all candidates to our team, as we continue to build on the incredible value our diverse talent brings to our organization, our community and our patients. Please explore our website (www.northshore.org) to better understand how NorthShore delivers on its mission "to preserve and improve human life" through superior clinical care, academic excellence and innovative research. NorthShore is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. #ZRNC #LI-JR2