BILLING SPECIALIST (1124T)

Memorial Health; Springfield (IL); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Paid time off

401(k) match

Health/dental/vision insurance

Job summary

Memorial Health is seeking a Billing Specialist in Springfield, IL to analyze, investigate, and resolve complex inpatient and outpatient medical claims. You will ensure compliance with managed care guidelines and MMC policies while supporting accuracy in billing processes.

Requires a high school diploma or GED and at least two years of billing experience, with strong CPT/ICD-9 CM coding knowledge. Proficiency in UB04 forms and MS Office is preferred, and the organization offers competitive

Qualifications

• High school diploma or GED required.
• Two or more years of medical claims/billing experience.
• Strong knowledge of CPT and ICD-9 CM coding and UB-04 claim forms.
• Experience with electronic billing systems and Microsoft Office.

Responsibilities

• Analyze, investigate, and resolve complex inpatient/outpatient medical claims and billing errors.
• Ensure compliance with managed care guidelines and MMC policies.
• Train others on the complete billing process.
• Collaborate with internal and external contacts to resolve issues.

Skills

Medical terminology

CPT coding

ICD-9 CM coding

UB04 knowledge

Microsoft Word

Microsoft Excel

Detail oriented

Customer service

Education

High school diploma or GED

Tools

Electronic billing system

Microsoft Office

Job description

Focused on the Future of Care We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type: On-site

Job Description Summary: Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Education: Education equivalent to graduation from high school or GED is required.

Experience: 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.

Other Knowledge/Skills/Abilities:

• Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required.
• Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process.
• Basic working knowledge of personal computers and their associate user software is required.
• Experience with Microsoft Office products Word and Excel is preferred.
• Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
• Demonstrates ability to work successfully with internal customers and external contacts is required.
• Possesses a highly-developed detail orientation, critical thinking, and problem solving ability.
• Demonstrates excellent oral and written communication, keyboarding, and basic math skills.
• Demonstrates ability to work unsupervised as well as the ability to work in a group setting.

Pay Transparency $18.34 - $28.42

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role.

Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail].

Requests will be handled confidentially.

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