Medical Billing Specialist — AR & Denials Expert

United Surgical Partners International, Inc; Moline (IL); On-site; USD 18,000 - 30,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Paid time off (vacation & sick)

401k plan

Paid holidays

Health savings accounts

Employee assistance program

Job summary

United Surgical Partners International, Inc. is hiring a Billing Specialist for Quad City Gastroenterology in the Quad City area.

The role oversees the entire patient billing process, from submission to insurance to driving collections and audits, working with our coding specialist to ensure accurate coding. Requirements include 3+ years of medical billing experience, strong knowledge of CPT codes, claims processing, and excellent communication skills.

Qualifications

• High School Diploma or equivalent required.
• 3+ years in medical billings with knowledge of managed care, Medicare, Medicaid, workers' comp and commercial plans.
• Extensive knowledge of billing, collections, and reimbursement processes.
• Fluent in medical terminology and CPT codes.
• Ability to work independently and maintain patient information safety.

Responsibilities

• Electronically submit patient bills to third party payers.
• Post payments from payers and patients timely and accurately.
• Process rejected/denied claims promptly with payers.
• Contact insurance companies to collect outstanding payments.
• Monitor AR aging and drive collections.
• Interpret managed care contracts, Medicare/Medicaid, and workers' comp claims.
• Identify accounts over- or under-paid and issue credit balances as needed.
• Communicate clearly with carriers and patients; negotiate as needed.
• Coordinate with billing staff and coding specialists as a team.

Skills

Medical billing

Insurance collections

CPT codes

Communication skills

Microsoft Office

HIPAA knowledge

Negotiation

Independent work

Team coordination

Analytical thinking

Education

High School Diploma or equivalency

Job description

United Surgical Partners International, Inc. is hiring a Billing Specialist for Quad City Gastroenterology in the Quad City area.

The role oversees the entire patient billing process, from submission to insurance to driving collections and audits, working with our coding specialist to ensure accurate coding. Requirements include 3+ years of medical billing experience, strong knowledge of CPT codes, claims processing, and excellent communication skills.