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Billing Specialist

Location

Arlington Heights, IL

Necessary Skills

• Two (2) years of medical billing experience and successful work history as a Medical Biller or Medical Assistant;
• Experience in the use of medical billing software(experience with VisiTrack, Kinnser, MEDI System is a plus);
• Proficient in ICD-9 with working knowledge of ICD-10.

Basic Requirements

• Detail-oriented with logical approach to problem solving.
• Ability to multi-task, as well as organize and prioritize work assignments
• Ability to work independently and complete assignments timely and accurately
• Basic understanding of Microsoft Office products.

Eligibility

• Experience with major insurance carriers and Medicare, Medicaid preferred.

Job Description

Core Responsibilities:

·         Follow protocol to ensure appropriate billing and payment cycles, and accurate and timely billing occur in accordance with established internal and carrier requirements. 

·         Maintain appropriate internal controls over accounts receivables/cash receipts, and monitors charge posting, billing, and collection operations for compliance with established policies, regulations, procedures, and standards. 

·         Review aging reports and determine reason for unpaid accounts.

·         Contact insurance companies regarding problem or unpaid claims.

·         Collaborate with clinical department concerning issues related to billing and/or medical records.

·         Resolves problems concerning the recording or provision of services rendered which impact on ability to collect charges.

·         Prepare and maintain required records, files, and reports on billing and financial activities.

·         Coordinate copies of medical documentation with physician charges to support billing to third-party payers.

·         Review and correct medical claims, edits and denials to ensure proper payment for medical services rendered.

·         Responsible for billing all secondary healthcare claims with the required documentation.

·         Responsible for working with the medical facilities on charge corrections and other claim edits.


 

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