NewPatient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNSpringfield, IL$17–$18.15 / hourResponsible 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 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.
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.
Senior Billing Specialist RelativitySenior Billing SpecialistIllinoisThe Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models. Partner cross-functionally with Revenue Accounting, Deal Desk, Sales Operations, and Legal to ensure efficient and accurate transaction processing, and continually evolve the order-to-cash cycle in a high-growth environment.
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 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.
Patient Registration Specialist, Urgent Care - Koke Mill Memorial HealthPatient Registration Specialist, Urgent Care - Koke MillChatham, IllinoisFull timeResponsible for completing all steps of pre-registration/registration including patient interview, obtaining of signatures, providing Advance Directive information and distributes hospital specific literature. Conducts insurance verification tasks, pre-certification, or referral information from MD offices and/or insurance companies and authorization for elective and emergent patients.
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.
Associate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessLitchfield, 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 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.
Patient Access Specialist - Springfield Part Time Ensemble Health PartnersPatient Access Specialist - Springfield Part TimeLitchfield, 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 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.
Patient Access Specialist - Springfield Part Time Night Ensemble Health PartnersPatient Access Specialist - Springfield Part Time NightSpringfield, 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 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.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistSpringfield, 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 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.
Clinical Application Support Specialist Jardogs.aiClinical Application Support SpecialistHillsboro, IllinoisExceptional verbal and written communication skills, with a proven ability to explain complex information clearly and concisely to diverse audiences (including busy healthcare providers). You will be the primary point support contact for users with concerns with medical billing, focusing on explaining the logic behind our AI-driven medical coding suggestions and ensuring a smooth user experience.
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.