Medical Billing Specialist

USPI • Moline, IL

10d • $18 - $22

About The Position

Quad City Gastroenterology is hiring a full-time Billing Specialist. The role oversees the billing process for patient accounts, including timely insurance billing, coordination with the coding specialist to ensure accurate coding, monthly coding audits, and driving insurance collections. The Billing Specialist also processes payments, rejections, and denials; follows up on outstanding insurance payments and accounts receivable; and identifies overpayments and underpayments. The position requires knowledge of managed care contracts, Medicare and Medicaid, Workers’ Compensation claims, claims reimbursement, and collections. The role is based at Quad City Gastroenterology, an ambulatory surgical facility accredited by the Accreditation Association for Ambulatory Health Care.

Requirements

• High school diploma or equivalent.
• At least 3 years of experience in medical billing, with extensive knowledge of claims reimbursement and collection efforts for managed care, Medicare, Medicaid, Workers’ Compensation, and commercial plans.
• Extensive knowledge of billing, collections, and claims reimbursement processing.
• Fluency in medical terminology and CPT codes.
• Ability to work independently and interdependently with other business office staff.
• Strong organization, time management, and task-prioritization abilities.
• Ability to maintain discretion and protect patient information.
• Excellent verbal and written communication and interpersonal skills.
• Excellent customer service skills and professionalism.
• Comfort using critical-thinking skills.
• Proficiency with Microsoft Office products.
• Understanding of healthcare-specific policies, including HIPAA regulations.
• Excellent communication and negotiation skills.

Responsibilities

• Electronically submit patient procedure bills to third-party payers.
• Post payments received from third-party payers and patients accurately and promptly.
• Process rejected and denied claims submitted to third-party payers accurately and promptly.
• Contact insurance companies to collect outstanding payments.
• Monitor and collect accounts receivable aging.
• Interpret managed care contracts and handle Medicare, Medicaid, and Workers’ Compensation claims.
• Identify accounts that have been underpaid or overpaid.
• Issue credit balance information to insurance carriers or patients.
• Work with the coding specialist to ensure cases are coded correctly.
• Lead monthly coding audits and help drive insurance collections.

Benefits

• Medical, dental, vision, disability, and life insurance.
• Paid time off for vacation and sick leave; starting accrual is 15 days per year.
• 401(k) retirement plan.
• Paid holidays.
• Health savings accounts and healthcare and dependent flexible spending accounts.
• Employee Assistance Program.
• Employee discount program.
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare benefits, AD&D insurance, and auto and home insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED