Billing Specialist II

Shawnee Health; Carterville (IL); On-site; USD 25,000 - 27,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Employer and Voluntary Paid Life

Employer Paid Long Term Disability

Voluntary Short-Term Disability

Accident Insurance

Critical Illness Insurance

Flexible Spending Account

Dependent Care Account

401k Retirement Plan

Job summary

Shawnee Health in Southern Illinois seeks a Billing Specialist II to support our Shawnee Alliance Billing office. The role reports to the Revenue Cycle Director and focuses on timely, accurate processing of charges, payments and adjustments.

Responsibilities include handling inquiries, applying coding rules under CMS/AMA/Medicaid, pursuing AR follow-up and denials, and maintaining confidentiality per policy.

Qualifications

• High School Diploma is required.
• Knowledge of Medicare, Medicaid and Commercial billing guidelines preferred.
• Able to process medical service requests with strict confidentiality.

Responsibilities

• Promptly and professionally processes medical service requests and calls with confidentiality.
• Completes SFA applications and passes annual testing.
• Refers patients to appropriate staff per established protocols.
• Attends/completes all required training through LMS and other resources.
• Posts charges, payments and adjustments for all payer types accurately.
• Maintains understanding of CMS/AMA/ADA/Medicaid coding rules.
• Performs AR follow-up and works insurance denials.

Skills

Medical billing

Accounts receivable

CMS rules knowledge

Confidentiality

Education

High School Diploma

Tools

SFA Applications

Job description

Shawnee Health – Billing Specialist II Join Southern Illinois’ leading healthcare organization, with over 350 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life.

Shawnee Health – Billing Specialist II

Join Southern Illinois’ leading healthcare organization, with over 350 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life.

Shawnee Health is seeking a Billing Specialist II for our Shawnee Alliance Billing office. This position reports directly to the Revenue Cycle Director.

Responsibilities

• Promptly and professionally answers, screens, and processes medical service requests and telephone inquiries with strict adherence to confidentiality policies.
• Ability to complete SFA applications proficiently and pass testing for SFA Application processing as indicated on an annual basis.
• Refers patients to the appropriate staff, according to patient request per established protocols. i.e. triage, medical records, patient care coordinators, case management and ACA staff.
• Attends/completes all assigned training through learning management system and other resources as required.
• Meets Shawnee Health Service and department benchmarks and or quality indicators as monitored through audits and or recordings.
• Supports organizational changes, demonstrates flexibility in providing coverage as needed during times of high volume or staff shortages.
• Responsible for the timely posting of charges, payments and adjustments for medical services for all provider specialties and payer types, utilizing the patient encounter information as directed by physicians and medical records notes.
• Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid.
• Provides timely follow up of accounts receivable financial classes. Works denials from insurance carriers. Discusses accounts with patients and/or responsible parties. Works self-pay balances after insurance in accordance with Shawnee Health Service credit and collection policy.
• Must have an excellent understanding of all Shawnee Health Service policies and procedures.

Requirements

• High School Diploma
• Knowledge of Medicare, Medicaid and Commercial billing guidelines preferred

Starting salary - $18.00 - 19.68/hour, based on experience

Comprehensive Benefits Package

• Health Insurance
• Dental Insurance
• Vision Insurance
• Employer and Voluntary Paid Life
• Employer Paid Long Term Disability
• Voluntary Short-Term Disability
• Accident Insurance
• Critical Illness Insurance
• Flexible Spending Account
• Dependent Care Account
• 401k Retirement Plan

Paid Time Off

For more information, please visit the below website: https://www.shawneehealth.com/join-our-team/employee-benefits/