Medical Billing Reimbursement Specialist

The US Oncology NetworkPeoria, IL
3d$17 - $28Onsite

About The Position

Join Illinois CancerCare as a Reimbursement Specialist, where your expertise in analyzing, investigating, and resolving unpaid insurance claims will facilitate prompt payments from insurance payers. This role requires a compassionate approach, maintaining patient confidentiality while providing exemplary service to our patients and their families.

Requirements

  • High school diploma or equivalent (required)
  • Experience in a medical office or insurance-related role preferred
  • Strong understanding of medical terminology and insurance processes
  • Excellent communication, organization, and customer service skills
  • Ability to work independently and manage multiple priorities in a fast-paced setting

Responsibilities

  • Processes Medicaid/Medicare and Commercial insurance correspondence requests.
  • Process appeals with appropriate supporting documentation to carriers, log & scan into billing software and follow appeal until resolved.
  • Timely follow-up of Accounts Receivable.
  • Update changes of insurance and verify benefits for each change. Back up to Payment Posters – Post and Balance Insurance remittances.
  • Answer telephone, screen calls, take messages and provide information from patients, ILCC staff and providers in a courteous manner.
  • Assists patients with questions, problems, etc.
  • Assists in the processing of insurance claims including Medicaid/Medicare and private insurance.
  • Maintain knowledge of Medicare/Medicaid and private insurance updates of information as well as policies and payer trends.
  • Observe OSHA and facility policies and guidelines.
  • Maintain patient confidentiality. Excellent internal and external communication skills needed.
  • Adhere to the ILCC employee handbook, HIPPAA policies and ILCC code of conduct.
  • Must be available to work additional hours as needed.

Benefits

  • Medical, dental, and vision insurance (multiple plan options)
  • Special wellness programs – Maven, HingeHealth, Livongo, Vitality, and Wondr
  • 401(k) retirement plan with employer contributions
  • Company-paid life, short-term, and long-term disability insurance
  • Health Savings Account (HSA) & Flexible Spending Accounts (FSA)
  • Paid time off and holidays
  • Employee Assistance Program (EAP)
  • Discounts through our Perks Program

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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