Medical Billing & Denials Specialist

SIU Medicine; Springfield (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

SIU Medicine in Springfield, IL seeks a on-site Billing Specialist to examine and analyze explanations of benefits. You will review outstanding invoices, determine action steps, and resolve balances with third-party payers.

The role focuses on denials, referrals, and prior authorizations, with daily entry in the billing system and coordination with medical coding staff to optimize payments.

Qualifications

• One year (12 months) of healthcare claims experience or coursework.
• Familiarity with denials, rejections, referrals, and prior authorizations.
• Ability to review explanation of benefits (EOB) and determine action steps.
• Knowledge of medical terminology and hospital or physician billing.

Responsibilities

• Review EOBs for denials and determine actions.
• Access Centricity Business to review patient accounts.
• Determine steps and resubmit/adjust claims as needed.
• Bill secondary insurance when appropriate.
• Transfer denied charges to patients or responsible parties.
• Maintain documentation and balance batches daily.

Skills

Customer service

English grammar

Medical terminology

Arithmetic skills

Computer skills

Attention to detail

HIPAA compliance

Patient communication

Training others

Education

Health-related college coursework

Associate's Degree

Tools

Centricity Business

Job description

SIU Medicine in Springfield, IL seeks a on-site Billing Specialist to examine and analyze explanations of benefits. You will review outstanding invoices, determine action steps, and resolve balances with third-party payers.

The role focuses on denials, referrals, and prior authorizations, with daily entry in the billing system and coordination with medical coding staff to optimize payments.