Manage the hospital's billing and reimbursement processes to help ensure accurate and timely payment for medical services.
- Prepare and submit insurance claims in accordance with insurance guidelines and hospital policies.
- Verify patient demographic and insurance information.
- Review billing errors and discrepancies and resolve claim issues.
- Monitor claims status and follow up on outstanding or denied claims.
- Verify insurance coverage and eligibility prior to services.
- Post payments from insurance companies and patients and process refunds when needed.
- Reconcile payments with billed amounts and identify discrepancies.
- Analyze and resolve claim denials, generate reports, and support collections activities.
- Collaborate with clinical and coding teams to address coding-related denials.
- Appeal denied claims within required timelines.
- Assist patients with billing inquiries and explain their bills clearly.
- Stay current with healthcare regulations, coding changes, and insurance policies.
Requirements & Qualifications
- Associate degree in Health Administration required.
- Proven experience in medical billing and reimbursement, preferably in a hospital setting.
Benefits & Perks
- Career pathways for professional growth and development
- Medical, dental, and vision options
- Tuition reimbursement
- Free parking at designated locations
- Wellness program savings plan
- Health savings account options
- Retirement options with company match
- Paid time off
- Community involvement opportunities
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
6 months ago