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Medical Billing Representative

speroMD – Northbrook, IL

GENERAL SUMMARY:

The Billing Representative is responsible for the billing, payment posting, follow-up of unpaid claims, and appeals.

ESSENTIAL JOB FUNCTIONS:

  • Performs back-end revenue cycle processes including billing, posting of payments, and follow up on pending claims or denied in conjunction with the Billing Coordinator
  • Edits claims, payer rejections and clean claim submission on a daily basis
  • Monitors payer trends based on rejections and non-payment. Works claim follow up and claims denials to ensure maximum reimbursement for services provided
  • Posts charges and completion of claims to payers in a timely fashion
  • Responsible for submitting appeals according to payor requirements
  • Performs insurance verifications to confirm member eligibility
  • Responds to account inquires submitted by the Customer Service Department
  • Provides quality service by enforcing quality and customer service standards
  • Demonstrates and supports PediaTrust Core Values

ADDITIONAL JOB FUNCTIONS

  • Other duties as assigned

MINIMUM QUALIFICATIONS:

To perform this position successfully, an individual must be able to perform each job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

Required Education, Knowledge, Skills & Abilities:

  • Minimum of High School Diploma required
  • Ability to work independently and collaboratively within a team environment
  • Ability to multi-task and meet deadlines
  • Excellent problem-solving skills
  • Understanding of payer policies in relation to billing
  • Knowledge of Epic, eCW and/or other EHR systems preferred
  • Strong knowledge and level of comfort with Microsoft Word and Excel strongly preferred
  • Some knowledge of CPT and ICD-10 diagnosis coding preferred
  • Strong written and verbal communication skills and high level of organizational skills required

Required Length & Type of Experience:

  • Minimum of 2 years of medical billing experience required

CORE VALUES

Trust. We are committed to integrity without compromise

Partnership. We work as a team toward our shared purpose

Excellence. We strive to exceed expectations in everything we do

Compassion. We are dedicated to serving others and fostering healthy relationships.

Respect. We treat all with dignity and embrace diversity

Job Type: Full-time

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