Senior Medical Billing & Claims Specialist

Memorial Health; Springfield (IL); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Paid time off

401(k) match

Health/dental/vision insurance

Job summary

Memorial Health is seeking a Billing Specialist in Springfield, IL to analyze, investigate, and resolve complex inpatient and outpatient medical claims. You will ensure compliance with managed care guidelines and MMC policies while supporting accuracy in billing processes.

Requires a high school diploma or GED and at least two years of billing experience, with strong CPT/ICD-9 CM coding knowledge. Proficiency in UB04 forms and MS Office is preferred, and the organization offers competitive

Qualifications

• High school diploma or GED required.
• Two or more years of medical claims/billing experience.
• Strong knowledge of CPT and ICD-9 CM coding and UB-04 claim forms.
• Experience with electronic billing systems and Microsoft Office.

Responsibilities

• Analyze, investigate, and resolve complex inpatient/outpatient medical claims and billing errors.
• Ensure compliance with managed care guidelines and MMC policies.
• Train others on the complete billing process.
• Collaborate with internal and external contacts to resolve issues.

Skills

Medical terminology

CPT coding

ICD-9 CM coding

UB04 knowledge

Microsoft Word

Microsoft Excel

Detail oriented

Customer service

Education

High school diploma or GED

Tools

Electronic billing system

Microsoft Office

Job description

Memorial Health is seeking a Billing Specialist in Springfield, IL to analyze, investigate, and resolve complex inpatient and outpatient medical claims. You will ensure compliance with managed care guidelines and MMC policies while supporting accuracy in billing processes.

Requires a high school diploma or GED and at least two years of billing experience, with strong CPT/ICD-9 CM coding knowledge. Proficiency in UB04 forms and MS Office is preferred, and the organization offers competitive