Medical Coding & Billing Specialist (Oakbrook, IL)

Socket.dev; Westmont (IL); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive pay

Benefits package

Medical, Dental, and Vision

HSA & FSA

401K

Paid vacation

12 paid holidays

Supportive environment

Mission-driven

Job summary

Stella is seeking a highly organized Medical Coding & Billing Specialist to ensure accurate CPT, ICD-10, and HCPCS coding for claims and timely payments. This hybrid role operates from our Westmont, IL clinic, supporting mental health services and patient-centered care.

The ideal candidate has CPC certification, 2+ years outpatient billing experience, proficiency with Microsoft Office, and familiarity with Dr. Chrono or AthenaHealth EMR; travel to Chicagoland office 3 days weekly as required.

Qualifications

• CPC certification (CPC-A considered).
• 2+ years in outpatient billing, coding, denials, including claim creation and submissions, E/M.
• Proficiency with Microsoft Office Suite.
• Behavioral health billing experience preferred.
• Experience with Dr. Chrono.
• Experience with AthenaHealth EMR preferred.
• Must commute to Chicagoland office 3 days/week.

Responsibilities

• Review documentation to ensure accurate CPT, ICD-10, and HCPCS coding for claims.
• Submit clean claims and manage denials through resolution.
• Collaborate with providers to obtain billing information.
• Generate patient statements, collect payments, and assist patients with billing inquiries.
• Manage delinquent accounts and assist with collections when needed.
• Process payer and patient refunds.
• Provide billing support to medical staff and ensure compliance with regulations.
• Maintain up-to-date knowledge of billing guidelines.
• Maintain current medical billing certification and proficiency (CPC preferred).

Skills

Outpatient billing

Denials management

E/M coding

Customer service

Microsoft Office

Behavioral health billing

Education

CPC certification

Tools

Dr Chrono

AthenaHealth EMR

Microsoft Office Suite

Job description

About the Role

We are seeking a highly organized and detail-oriented Medical Coding & Billing Specialist to ensure accurate and timely payment for our patient services. You will play a critical role in our mission to provide breakthrough treatments for mental health conditions like trauma, stress, anxiety, and depression. This is a fantastic opportunity to contribute your expertise to a growing organization dedicated to patient-centered care. This is a hybrid position working out of our Westmont, IL clinic.

Key Responsibilities

• Review patient encounter documentation to ensure accurate CPT, ICD-10, and HCPCS coding for claims submission.
• Submit clean claims to insurance companies and manage any denials or claim issues through resolution.
• Collaborate with providers and medical staff to obtain necessary billing information.
• Generate patient statements, collect payments, and provide exceptional customer service to patients regarding billing inquiries via phone, email, and chat.
• Manage delinquent accounts, including sending accounts to collections when necessary.
• Process payer and patient refunds.
• Provide billing support and guidance to medical and support staff.
• Maintain up-to-date knowledge of and ensure compliance with all relevant billing regulations and guidelines.
• Maintain current medical billing certification and proficiency (CPC preferred).

Minimum Qualifications

• CPC or similar certification (well-qualified CPC-A also considered).
• Minimum of two years of experience in outpatient billing, coding and denials, including claim creation and submissions, Evaluation, & Management (E&M).
• Proficiency with Microsoft Office Suite.
• Experience with behavioral health billing preferred.
• Experience with Dr. Chrono
• Experience with AthenaHealth EMR preferred
• Must be able to commute to our Chicagoland office 3 days a week

At Stella, we believe that diversity, equity, and inclusion are essential values that enrich our work environment and enhance our ability to serve diverse communities. We strive to integrate these values into every aspect of our organization, from hiring and training to policies and practices. We recognize that we have a responsibility to foster a culture of respect, empathy, and collaboration among our team, patients, and partners. Our vision is to be a leader in delivering patient-centered care that respects and celebrates diversity, promotes equity and inclusion, and improves health outcomes for all.

We offer:

• Competitive compensation and benefits package
• Benefits Package:
• Medical, Dental, and Vision Coverage, HSA, FSA
• 401K
• Competitive Paid Vacation Policy
• 12 Paid Holidays
• A supportive and collaborative work environment
• A mission-driven organization that makes a positive impact on people's lives

Job Type: Full-time