Billing & Claims Specialist – Full-Time

Gibson Area Hospital; Gibson City (IL); On-site; USD 28,000 - 34,000; Full time

Job summary

Gibson Area Hospital in Gibson City, IL is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payment from payers. You will handle patient accounts communication across departments and research billing questions with diligence.

The role requires experience with Medicare/Medicaid, Blue Cross, commercial plans, and denial management. Strong attention to detail, analytical skills, and excellent communication are essential to coordinate

Qualifications

• General knowledge of mathematics and accounting principles.
• Experience with billing forms required for different insurance plans.
• Knowledge of Medical Terminology.
• Familiar with the Legal and Ethical Compliance in charging and billing.
• Previous experience in the policy and procedures of billing.
• Requires analytical skills to evaluate claims for errors in billing and payment from payers.
• Knowledge of patient’s rights.
• Good communication skills to assist patients with billing questions and concerns.
• AAHAM CRCS certification preferred.

Responsibilities

• Run required daily reports for preparation of billing follow-up of patient accounts with Medicare, Medicaid, Blue Cross, Commercial and all third parties.
• Make outgoing & receive incoming calls and answer inquiries from patients, insurance companies or other parties regarding the status and billing questions concerning claims.
• Ensure timely follow-up to all insurance companies based on established policies and procedures.
• Review patient account information from admissions and out patient registration; identify missing information and determine follow-up steps.
• Respond to billing questions and provide clarification to customers.
• Maintain communication with insurance payers, outside agencies and internal departments.
• Refer non-routine issues to management for clarification.
• Update and prepare correspondence to customers and insurance payers as necessary.
• Communicate needs to customers with appropriate urgency.
• Process and scan all EOBs/Correspondence within 2 business days.
• Re-bill and reprocess denials and rejections and explore all avenues to resolve issues with payers.
• Take incoming calls from patients regarding their insurance and billing.
• Process all walk-ins.
• Resolve Credit Balance reports monthly.
• Collaborate professionally with staff at all times.
• Work the denial program daily.

Skills

Math fundamentals

Billing procedures

Medical terminology

Compliance knowledge

Analytical skills

Communication skills

Education

AAHAM CRCS certification

Job description

Gibson Area Hospital in Gibson City, IL is seeking a CBO Representative to ensure accurate and timely billing and follow-up of all claims to secure prompt payment from payers. You will handle patient accounts communication across departments and research billing questions with diligence.

The role requires experience with Medicare/Medicaid, Blue Cross, commercial plans, and denial management. Strong attention to detail, analytical skills, and excellent communication are essential to coordinate