Overview
Medical Billing Specialist Jobs in Chicago, Illinois, USA at The Doctors Center
We are looking for a dedicated Medical Billing Specialist to join our healthcare team. As a Medical Billing Specialist, you will be working in a fast-paced and growing organization where you will be relied on for your expertise, professionalism, and teamwork.
Responsibilities &
Duties
This position is responsible for collecting outstanding receivables from insurance companies, patients, and physicians.
Provide excellent customer service to patients, providers, and other customers.
Work in a high-volume medical collections environment while maintaining exceptional standards of excellence.
Follow through on rejected or denied claims, contacting third-party payers and/or patients for timely payment resolution.
Ability to accurately review and bill all secondary and tertiary insurances to correct charges, bill forms, and supporting documentation (EOBs).
Appropriately identify rejected or denied claims, work to ensure that trends are identified and resolved quickly.
Maintain daily billing queues by working and reporting claim edits or following up on claim issues.
Work independently while maintaining confidentiality and following HIPAA regulations.
Maintain work operations by following policies, procedures, and reporting compliance issues.
Qualifications
High school diploma or equivalent.
3+ years of billing experience required.
Previous years’ experience in primary care is a plus.
Experience using Athena preferred.
Knowledge of insurance payer requirements as it relates to benefit coverage, referrals, and authorizations.
Knowledge of processes and methods for maintaining clear and precise notes received from insurance payers related to insurance verification and communication with payers.
Knowledge of insurance billing and collection guidelines including HMO/PPO, Medicare, Medicaid, other third-party payers, HCPC, CPT, ICD-10, coding and medical terminology, LCDs (Local Coverage Determinations), payer billing guidelines and medical policies.
Knowledge of working in online payer portals such as Availity.
Knowledge of computer systems, programs, data entry, and spreadsheet applications is essential, including knowledge of MS Office applications including MS Word, PowerPoint, and Excel.
Detail-oriented self-starter with a strong work ethic.
Knowledge and understanding of legislation and regulations regarding healthcare practices and CMS regulations.
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Title: Medical Billing Specialist
Company: The Doctors Center
Location: Chicago, Illinois, USA
Category: Healthcare, Administrative/Clerical
