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Medical Revenue Cycle Specialist

PrimeCare Community Health

This is a hybrid position requiring employees to work onsite in the Chicago office a minimum of two days per week.

The role focuses on all elements of revenue cycle processes from claim creation to follow-up on denials, including handling and adjusting patient accounts based on EOB responses. The position also supports patient inquiries about statements, fulfills itemized bill requests for law firms, and processes patient and insurance refunds.

Requirements & Qualifications

The ideal candidate should have:

  • Strong knowledge of ICD-10, CPT-4, and HCPCS coding
  • Basic medical terminology knowledge
  • Ability to interpret and analyze EOBs (Explanation of Benefits)
  • Proficiency with Microsoft Office products, including Outlook, Word, Excel, and PowerPoint, as well as Adobe
  • Ability to work effectively with a diverse group of professionals
  • Strong independent judgment and prioritization skills
  • Ability to analyze, recommend, and implement process improvements
  • Strong interpersonal and communication skills
  • Ability to work independently and in a team-based environment
  • Respect for confidentiality, professional boundaries, and cultural diversity
  • Bachelor's degree in business administration, accounting, or finance preferred
  • CPC or CPC-A certification strongly preferred
  • 3–5 years of experience in outpatient/inpatient Medicaid, Medicaid MCOs, Medicare, Medicare Replacement, and commercial insurance billing preferred
  • Prior experience in health care organizations and FQHC settings strongly preferred
  • Prior experience with Athena EMR strongly preferred
Benefits & Perks

Benefits include:

  • 39 paid days off each year
  • 27 days of PTO each year, accrued each pay period
  • 3 personal days
  • 1 floating holiday
  • 8 paid holidays
  • Medical, dental, and vision coverage available first of the month after 30 days
  • Company-paid life, short-term disability, and long-term disability coverage
  • Discretionary 403(b) match and profit sharing after service requirements are met
  • Flexible spending accounts
  • Accident and critical illness coverage
  • Pet insurance
  • Tuition assistance program

Location

Chicago, Illinois, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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