Hospital Reimbursement Specialist

Chicago Behavioral Hospital; Des Plaines (IL); On-site; USD 30,000 - 36,000; Full time

Benefits offered by this job

401(k) + matching

Health Insurance

Vision insurance

Dental insurance

Life insurance

Paid time off

Paid holidays

Onsite cafeteria / discounted meals

Job summary

Chicago Behavioral Hospital in Des Plaines, Illinois is seeking a Hospital Reimbursement Specialist to join our busy business office. The role focuses on collections, corrections, denial management, and appeals for facility claims, with collaboration across departments.

This onsite, full-time position offers a typical hourly wage of $22.00–$26.00, a monthly bonus, and comprehensive benefits, including medical, dental, vision, life insurance, and 401(k) matching.

Qualifications

• Understanding of third-party payor rules and regulations.
• Able to read UB04 forms.
• Able to read and understand an EOB.
• Can verify benefits via online portal or phone.
• Understand payor contracts and verify insurance payments.
• Identify next steps when a claim is denied.
• Excellent written and verbal communication.
• Strong organization and time management.
• Proficient in Microsoft Office.

Responsibilities

• Contact carriers to follow up on unpaid facility claims in a timely and accurate manner.
• Submit account corrections and adjustments; manage denials and appeals when required.
• Identify trends with management and address root causes of AR issues.
• Collaborate with other teams; maintain clear documentation of accounts.

Skills

Payor rules & regs

Read UB04 forms

Read EOB

Verify benefits online/phone

Understand payor contracts

Identify next steps after denial

Excellent communication

Organizational skills

Time management

MS Office

Education

High school diploma or equivalent

Tools

Microsoft Office (Word, Excel, Outlook)

Job description

JOIN OUR TEAM AS A Hospital Reimbursement Specialist !Schedule: M-F 8a-4:30pMonthly bonus eligible!!! Onsite with many opportunities for advancement!Your Work Matters How will you make a difference?The Hospital Reimbursement Specialist is a multi-task position that covers all the main functions of the business office. Specialist are assigned to one facility. The following tasks include: Contacting carries for follow up to collect on unpaid facility claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments, communication is essential in this role as account resolution must occur within a timely manner. Familiarity with the following insurances is key; Commercial, Managed Care, PPO/HMO, Managed Medicare, Managed Medicaid, Traditional Medicaid/Medicare.Job Related SkillsUnderstanding of third-party payor rules and regulations.Ability to read UB04 forms.Able to read and understand an EOB.Can take the necessary action for account resolution in accordance with established federal and state regulations.Can verify benefits via online portal or over the phone.Understand payor contracts and can verify the insurance company has paid correctly.Ability to identify next steps required when a claim has been denied/rejected.Excellent communication is needed to document accounts accurately.Strong organizational and communication skillsStrong ability to prioritize and efficiently manage time.Proficient computer skills with Microsoft OfficeYour Experience Matters What we’re looking for:Education & Licensure: High school graduate or equivalent preferred.Experience: A minimum of one (1) years’ experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred.Additional Skill Requirements: Knowledge of Microsoft Office including word, excel, and outlook. Competence in basic PC skills required to perform job functions. Working knowledge of basic medical terminology.Your Care Matters What we provide for our team:Monthly bonus eligible401(k) + matchingHealth Insurance100% company-paid life insurance coverage up to 2x your annual salaryVision insuranceDental insurance100% company-paid long term disability insurancePaid time offPaid holidaysCafeteria on site + discounted mealsEmployee engagement eventsEmployee assistance programEmployee recognition programFree parkingWhat sets us apart:Career & training development opportunitiesDynamic and inclusive work environmentEngaged management team dedicated to your successA guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirationsDisclaimer: Benefits are subject to change at the discretion of Chicago Behavioral Hospital.Compensation:This is a full-time position and the expected compensation range for this role is $22.00 – $26.00 an hour, plus monthly bonus eligibility. Compensation will be determined based on experience and qualifications. Join us as our next Hospital Reimbursement Specialist and help support meaningful patient-centered care while advancing your career.Get to know us Outstanding Care, Compassionate People, Unparalleled ServiceDiscover a fulfilling career at Chicago Behavioral Hospital (CBH)!Welcome to the heart of mental health treatment innovation in Des Plaines, Illinois! CBH, a cutting-edge 150-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety.At CBH, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.Join us in providing exceptional care and contributing to the well-being of individuals and families in need and be a part of the transformative healthcare experience at Chicago Behavioral Hospital.To learn more about CBH, visit us at: https://www.chicagobehavioralhospital.com/TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.Individuals Maintaining Positive Attitude and Commitment To Service____________________________________________________________At Chicago Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.