Medical Billing Denials Specialist

Northwestern Memorial Healthcare; Warrenville (IL); Sur place; USD 28 000 - 41 000; Plein temps

Résumé du poste

Northwestern Medicine in Warrenville, IL seeks a Professional Billing Denials Specialist for a full-time day shift. The role focuses on timely resolution of claim edits, denials follow-up, and patient accounting activities within a hospital billing environment.

The position requires basic billing knowledge, proficiency in Microsoft Excel and Office, and strong math skills. Competitive benefits are offered with 40 hours per week.

Qualifications

• One year related work experience or college degree.
• Ability to perform mathematical calculations.
• Basic knowledge of medical terminology and billing practices.
• Experience with PC applications including Microsoft Office and Excel.
• Learn quickly and meet continuous timelines.
• Exhibit behaviors consistent with excellent service.

Responsabilités

• Meet productivity and quality standards for timely resolution of claim edits and required communications.
• Follow up on third party payer receivables and overturn denials for payment resolution.
• Communicate with payers via statements, letters, emails, or portal messages regarding outstanding accounts.
• Support operations related to various AR accounts (Managed Care, Commercial, Medicare/Medicaid, etc.).
• Utilize mainframe and external software to manage accounts and report issues.
• Attend training and participate in special projects as assigned.

Connaissances

Mathematical calculations

Customer service

One year related work experience

Formation

Two or more years’ college or college degree

Outils

Microsoft Office

Excel

Description du poste

Northwestern Medicine in Warrenville, IL seeks a Professional Billing Denials Specialist for a full-time day shift. The role focuses on timely resolution of claim edits, denials follow-up, and patient accounting activities within a hospital billing environment.

The position requires basic billing knowledge, proficiency in Microsoft Excel and Office, and strong math skills. Competitive benefits are offered with 40 hours per week.