Billing Reimbursement Specialist

1201 Northwest Community Hospital; Arlington Heights (IL); On-site; USD 26,000 - 39,000; Full time

Benefits offered by this job

Career growth

Medical vision dental

Tuition reimbursement

Free parking

Wellness program

Savings plan

HSA options

Retirement match

Paid time off

Community involvement

Job summary

Endeavor Health in Arlington Heights, IL seeks a Billing Reimbursement Specialist to manage hospital billing processes and reimbursements. You will work with insurance companies, patients, and internal teams to ensure accurate and timely payments.

The role emphasizes claims submission, eligibility verification, denial resolution, reporting, and collaboration with coding and clinical staff to address issues and improve cash flow. Full-time, onsite with comprehensive benefits.

Qualifications

• Associates degree in health administration required.
• Proven experience in medical billing and reimbursement preferred in a hospital setting.

Responsibilities

• Prepare and submit insurance claims for all patient services in accordance with insurance guidelines and hospital policies.
• Verify accuracy of patient demographic and insurance information.
• Review and resolve billing errors and discrepancies.
• Monitor the status of claims and follow up on outstanding or denied claims.
• Verify patients' insurance coverage and eligibility prior to services.
• Accurately post payments received from insurance companies and patients.
• Process refunds when necessary.
• Reconcile payments with billed amounts and identify discrepancies.
• Analyze and resolve claim denials by identifying the root causes.
• Generate and maintain reports related to billing, reimbursement, and collections.
• Collaborate with clinical and coding teams to address coding-related denials.
• Appeal denied claims as needed, adhering to appeal timelines.
• Assist patients with billing inquiries and provide clear explanations of their bills.
• Stay current with healthcare regulations, coding changes, and insurance policies.

Skills

Billing

Reimbursement

Insurance claims

Patient billing

Denials management

Accounts reconciliation

Reporting

Collaboration

Education

Associates degree in Health Administration

Job description

Hourly Pay Range: $19.89 - $28.84 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position: Billing Reimbursement Specialist

Location: Arlington Heights, IL

Full Time Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview: As a Billing Reimbursement Specialist you will be responsible for managing the hospital's billing processes and reimbursement procedures. This role involves working closely with insurance companies, patients, and internal departments to ensure accurate and timely reimbursement for medical services rendered.

What you will do

• Prepare and submit insurance claims for all patient services in accordance with insurance guidelines and hospital policies.
• Verify accuracy of patient demographic and insurance information.
• Review and resolve billing errors and discrepancies.
• Monitor the status of claims and follow up on outstanding or denied claims.
• Verify patients' insurance coverage and eligibility prior to services.
• Accurately post payments received from insurance companies and patients.
• Process refunds when necessary.
• Reconcile payments with billed amounts and identify discrepancies.
• Analyze and resolve claim denials by identifying the root causes.
• Generate and maintain reports related to billing, reimbursement, and collections.
• Collaborate with clinical and coding teams to address coding-related denials.
• Appeal denied claims as needed, adhering to appeal timelines.
• Assist patients with billing inquiries and provide clear explanations of their bills.
• Stay current with healthcare regulations, coding changes, and insurance policies.

What you will need

Associates Degree Health Administration Required Proven experience in medical billing and reimbursement, preferably in a hospital setting.

Benefits

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program
• Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

Welcome to Endeavor Health Careers At Endeavor Health, we believe every role plays an important part in advancing our mission to help everyone in our communities be their best. Whether you’re just beginning your career journey or are a seasoned professional, you’ll find opportunities here to learn, grow, and thrive. Your Career is our Endeavor.