Hybrid Medical Revenue Cycle Specialist

Primecare Community Health; Chicago (IL); Hybrid; USD 25,000 - 32,000; Full time

Benefits offered by this job

PTO 27 days year

Personal days (3)

Floating holiday

8 paid holidays

Medical/Dental/Vision

Life insurance

Disability insurance

403(b) match

Flexible spending accounts

Job summary

PrimeCare Health in Chicago, IL is seeking a Medical Revenue Cycle Specialist to manage revenue cycle processes from claim creation to denials follow-up. Hybrid role; onsite two days weekly in Chicago.

The ideal candidate will handle patient queries, itemized bills, and refunds, with experience in Athena EMR, Time Doc, and Dentrix, plus strong ICD-10/CPT-4 knowledge. Medical benefits commence after 30 days, with comprehensive coverage and a 403(b) match.

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, Medicaid MCOs, Medicare, Medicare Replacement, and commercial insurance billing preferred.
• Prior experience in health care organizations and experience in FQHC strongly preferred.
• Prior experience with Athena EMR strongly preferred.

Responsibilities

• Process missing slips in Athena and create claims according to payer’s requirements and guidelines.
• Follow up on all denied claims and drive it to proper resolution.
• Process inpatient charges in Alert MD.
• Process chronic care coordination charges in Time Doc.
• Identify claims that need referrals or additional information for payment.
• Manually post dental payments in Dentrix.
• Process, follow up on and resolve requests for itemized bills.
• Manage and follow up on payment plans offered to patients with outstanding balances.
• Review and analyze account balances to determine true insurance and patients’ refunds.
• Follow up with patients when updated insurance information is needed to process claims.
• Maintain regular communications with patients until such time that accounts are paid in full.
• Attend all departments’ meetings as well as PrimeCare all-staff meetings.
• Coordinate and submit settlement offer for approval.
• Other duties as assigned.

Skills

Independent judgment

Prioritization

Creative improvements

Team collaboration

Communication (confidential)

Cultural sensitivity

Medical terminology

ICD-10, CPT-4, HCPCS coding

EOB interpretation

Microsoft Office & Adobe

Education

Bachelor's degree in business/finance

CPC or CPC-A certification

Tools

Athena EMR

Time Doc

Dentrix

Alert MD

Outlook

Word

Excel

PowerPoint

Adobe

Job description

PrimeCare Health in Chicago, IL is seeking a Medical Revenue Cycle Specialist to manage revenue cycle processes from claim creation to denials follow-up. Hybrid role; onsite two days weekly in Chicago.

The ideal candidate will handle patient queries, itemized bills, and refunds, with experience in Athena EMR, Time Doc, and Dentrix, plus strong ICD-10/CPT-4 knowledge. Medical benefits commence after 30 days, with comprehensive coverage and a 403(b) match.