Northwestern Memorial Hospital · 5 months ago
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Chicago, IL
Full-time
Hybrid
Entry Level
3+ years expNorthwestern Memorial Hospital is committed to delivering world-class care and medical innovation. The Billing Coordinator is responsible for processing charges, payments, and adjustments for services rendered, handling billing inquiries, and ensuring accurate billing and coding practices in collaboration with clinical staff.
Health Care
Responsibilities
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification
Performs activities and responds to patient inquiries related to billing follow-up
Requests necessary charge corrections
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures
Works with patients/clients to establish payment plans according to predetermined procedures
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials
Reviews, prepares and sends pre-collection letters as defined by department procedures
Identifies and sends accounts to outside collection agency
Prepares and distributes reports that are required by finance, accounting, and operations
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices
Identify opportunities for process improvement and submit to management
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude
Displays a friendly, approachable, professional demeanor and appearance
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team
Supports a “Safety Always” culture
Maintaining confidentiality of employee and/or patient information
Sensitive to time and budget constraints
Other duties as assigned
Qualification
Required
High school graduate or equivalent
Strong Computer knowledge, data entry skills in Microsoft Excel and Word
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding
3 years of physician office/medical billing experience
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization
Ability to work independently
Preferred
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus
Benefits
$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year ($125 for part-time)
Matching 401(k)
Excellent medical, dental and vision coverage
Life insurance
Annual Employee Salary Increase and Incentive Bonus
Paid time off and Holiday pay
Company
Northwestern Memorial Hospital
Northwestern Memorial Hospital is an academic medical center.
Founded in 1981Chicago, Illinois, USA
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Lisa Nguyen
Co-Founder of Volunteer Services to Cardiology Department
Adewumni Sulaiman
ECMO Specialist
Recent News
2025-09-23
Chicago Tribune
2025-07-29
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