Hybrid Billing & Coding Pro: ICD-10/CPT & Denials

PrimeCare Health, Inc.; Chicago, Northern (IL, KY); Hybrid; USD 25,000 - 32,000; Full time

Benefits offered by this job

PTO 27 days

Personal days

Floating holiday

Holidays

Medical/dental/vision coverage

Life insurance

Disability insurance

403(b) match

Job summary

PrimeCare Health, Inc. is seeking a Revenue Cycle Specialist to manage claims from creation through follow-up of denials and refunds.

The role includes handling patient queries about statements and processing itemized bills for law firms, with a focus on accurate coding and payer compliance. The position requires experience with ICD-10, CPT-4 and HCPCS, as well as familiarity with Athena EMR and Microsoft Office.

Qualifications

• Bachelor’s degree in business administration, accounting, or finance preferred.
• CPC or CPC-A certifications strongly preferred.
• 3–5 years of experience in outpatient/inpatient Medicaid, Medicare, and commercial insurance billing preferred.
• Prior experience with Athena EMR strongly preferred.
• Knowledge of ICD-10, CPT-4 and HCPCS coding; ability to interpret EOBs.

Responsibilities

• Process missing slips and create claims per payer guidelines.
• Follow up on denied claims and drive to resolution.
• Post inpatient charges and chronic care charges.
• Manage itemized bill requests and patient refund processing.
• Coordinate settlement offers and payment plans with patients.
• Maintain communications with patients until balances are paid in full.
• Attend department and all-staff meetings.

Skills

Analytical skills

Independent judgment

Communication

Teamwork

Attention to detail

Confidentiality

Education

Bachelor's degree in business administration, accounting, or finance

CPC or CPC-A certifications

Tools

Athena EMR

Microsoft Office (Outlook, Word, Excel, PowerPoint)

Job description

PrimeCare Health, Inc. is seeking a Revenue Cycle Specialist to manage claims from creation through follow-up of denials and refunds.

The role includes handling patient queries about statements and processing itemized bills for law firms, with a focus on accurate coding and payer compliance. The position requires experience with ICD-10, CPT-4 and HCPCS, as well as familiarity with Athena EMR and Microsoft Office.