Reviews claim denials related to medical necessity, pre-certification, authorization, and level of care requirements. Works with physician practices, providers, payers, and internal departments to resolve denials, support the appeal process, identify trends, and help reduce future denials.
Requirements & Qualifications
Education
- High school diploma required
Experience
- 2 years of previous patient billing experience, or
- 2 years of managed care experience
Skills
- Extensive computer knowledge and experience
- Knowledge of standard billing guidelines
- Familiarity with CPT/ICD-9 coding
- Understanding of usual and customary (U&C) schedules
Benefits & Perks
Benefits and Perks
- Premium pay opportunities such as shift, on-call, and holiday pay
- Incentive pay for select positions
- Annual increases based on performance
- Career pathways for professional growth and development
- Medical, dental, pet, and vision options
- Tuition reimbursement
- Free parking
- Wellness program savings plan
- Health savings account options
- Retirement options with company match
- Paid time off and holiday pay
- Community involvement opportunities
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago