Billing Specialist Hired by MatrixBilling SpecialistHopedale, IL$800Responsibilities: Prepare and submit clean UB-04 and CMS-1500 claims to Medicare, Medicaid, commercial, and other payers across all service lines in a timely manner. PREFERRED: Experience with multi-service line facility billing including SNF, swing bed, and outpatient services.
Billing Specialist Memorial HealthBilling SpecialistSpringfield, IllinoisFull timeThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.
Denial Appeals Specialist Memorial HealthDenial Appeals SpecialistSpringfield, IllinoisFull timeThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and Medicaid-compliant information accompanies the claim.
NewPatient Service Specialist, Koke Mill Taylorville Memorial HospitalPatient Service Specialist, Koke MillSpringfield, ILAssists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits. Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction.
Patient Service Specialist, Lincoln Memorial HealthPatient Service Specialist, LincolnLincoln, IllinoisPer diemAssists clinic in meeting goals related to days in accounts receivable by working as part of a team responsible for several front-line billing aspects which may include but is not limited to, charge entry, charge submission, posting of payments, charge adjustments, and cash management, including bank deposits. Responsibilities: Assists clinic in meeting goals related to quality and patient satisfaction by providing assistance, guidance, and direction to visitors and patients, in person and over the phone in a manner designed to yield a high level of patient satisfaction.
Patient Services Specialist Gailey Eye ClinicPatient Services SpecialistSpringfield, IllinoisAdvises patients of any copays, deductibles, out of pocket expenses that may be due at the time of service as well as works closely with patient accounts to aid in billing questions and payments. • Schedules and confirms patient diagnostic appointments, exams or medical consultations by talking with the patient and utilizing patient medical record for appointment recall/diagnosis.
Insurance Billing Specialist, Full-time Hopedale Medical ComplexInsurance Billing Specialist, Full-timeHopedale, ILFrom our 25-bed hospital, 24-hour Emergency Department, ICU, and four operating rooms to primary and specialty care, advanced surgical services, diagnostic imaging, rehabilitation, long-term care, senior living, and wellness services, HMC provides the capabilities of a larger health system with the personal connection of community healthcare. The Insurance Billing Specialist must maintain a thorough understanding of third-party reimbursement requirements, payer guidelines, and HMC billing policies and procedures while providing professional and courteous service to patients, insurance representatives, physicians, and hospital staff.
NewRemote Medical Review Nurse (RN) - Must Work CST time zone Molina Healthcare IncRemote Medical Review Nurse (RN) - Must Work CST time zoneILRemoteREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
AR Specialist 2, Complex Clinical Denials SavistaAR Specialist 2, Complex Clinical DenialsIllinoisWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Intermediate knowledge of one or more of the following Patient accounting systems: EPIC, Collections Management, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon.
Patient Access Specialist - Decatur Part Time Ensemble Health PartnersPatient Access Specialist - Decatur Part TimeDecatur, IllinoisPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist - Decatur Full Time Ensemble Health PartnersPatient Access Specialist - Decatur Full TimeDecatur, IllinoisResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Billing Specialist Mariani Premier GroupBilling SpecialistIllinoisMariani Enterprises LLC is committed to pay transparency and equity among all employees and provides employees with an environment where pay transparency and dialogue on compensation are allowed. This associate is responsible for supporting billing operations, including ensuring that all aspects of client invoicing are produced accurately and in a timely manner.
Call Center Memorial HealthCall CenterSpringfield, IllinoisFull timeResponsible for the collection and follow-up of all outstanding self pay and liability balances of ALMH and TMH Patient Accounts in accordance with policies and procedures, and determines customers’ eligibility for financial assistance programs. Corresponds with collection agencies regarding payments and other situations with accounts including: review and report of bad debt payments, and review and approval of suit authorizations.
Patient Access Specialist I Memorial HealthPatient Access Specialist ISpringfield, IllinoisPart timeIdentifies and reviews services requiring pre-authorization or pre-certification by Medicare, Medicaid, Commercial, and Managed Care payers to ensure eligibility requirements are met prior to service; communicates with physician offices and uses appropriate technology. Negotiates with patients and families to collect co-pays and/or deposits at point of service and supports Patient Access Services (POS) collection goals as defined by Revenue Cycle leadership and best practice benchmarks.
REIMBURSEMENT SPECIALIST Memorial HealthREIMBURSEMENT SPECIALISTSpringfield, IllinoisFull timeEnsures compliance to Memorial Home Services of Central Illinois, Inc. policies, by identifying, initiating and processing accurate and timely refunds to private payers, commercial insurance, and/or governmental entities, any time an overpayment is identified. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
Revenue Cycle Specialist III AbbottRevenue Cycle Specialist IIIIllinoisThis position will collaborate with team leadership, help support team projects and initiatives, and regularly collaborate cross-functionally to support the Revenue Cycle and Order to Cash functions. Perform all team essential duties proficiently; including resolution of all Revenue processes, handling queues in the Electronic Medical Records (EMR) system, and troubleshooting patient claims, charges, and appeal processes.
Follow-Up Specialist Memorial HealthFollow-Up SpecialistSpringfield, IllinoisFull timeThis may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies. Investigates assigned patient accounts with incomplete/incorrect information and resolves problems or errors to ensure complete and compliant information accompanies the claim.
Scheduler Illinois CancerCareSchedulerPekin, Illinois$16–$25 / hourYou’ll work closely with providers, patients, and clinical teams to ensure appointments are accurate, timely, and aligned with each patient’s care plan. Overview: Illinois CancerCare is seeking a highly organized and patient-focused Scheduler to join our Pekin clinic team.
Medical Payment Posting Specialist Chestnut Health SystemsMedical Payment Posting SpecialistBloomington, Illinois$17–$18 / hourFull timeYou'll play an important behind-the-scenes role in keeping our healthcare operations running smoothly by accurately posting payments, processing insurance adjustments and denials, and helping ensure patient accounts remain accurate and balanced. Our interdisciplinary teams deliver trauma-informed, recovery-oriented care that integrates behavioral health, primary care, dental, and community-based services to improve health outcomes and strengthen communities.
Patient Financial Services Associate II AbbottPatient Financial Services Associate IIIllinoisRemoteA PFSAII demonstrates medical insurance knowledge by resolving billing discrepancies, eligibility, denials, appeals, and aged unpaid claim follow up for commercial, government, and plan coverage for optimal Account Receivable (AR) outcomes. Review explanations of payments, analyzes, and completes appropriate steps for all denials by appropriately identifying claim resolution next steps; including appealing, writing off, or sending statements.