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Senior Billing Specialist

Chicagoland Eye Consultants, SC – Elgin, IL

Well established, busy ophthalmology practice in Elgin and Park Ridge/Chicago searching for 1 Medical Biller to work out of the Elgin location.

Role and Responsibilities

Under general supervision of manager or administrator the Medical Biller/Collector is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and facilities, as well as monitoring and ensuring payments for medical services are received in a timely manner.

Medical Biller/Collector may also function as an intermediary between healthcare providers, clients, patients and health insurance companies.

Accountable for A/R >90 days and its reduction.

Our thriving ophthalmology practice needs an experienced senior biller/coder who can take over the administrative duties involved with coordinating patient and physician schedules as well as file management, scanning and office organization. We are looking for a professional who believes that patients should be treated as people rather than numbers in a file, and who understands the value of compassionate service.

The job includes significant amounts of multi-tasking, but the ideal candidate will know when to slow down, look patients in the eye and provide personalized service. There are advancement opportunities for the successful applicant.

Responsibilities

Reviews patient bills for accuracy and completeness; obtains missing information.

Knowledge of insurance, especially Medicare and Medicaid, rules and guidelines

Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances.

Perform coding and billing tasks on a computerized health information technology (HIT) system.

Utilize a combination of electronic health record (EHR) and paper patient records to perform billing duties; maintain an accurate, legally compliant medical record.

Process claims as they are paid and credit accounts accordingly.

Review insurance payments for accuracy and compliance with contract discounts.

Review denials or partially paid claims and work with the involved parties to resolve the discrepancy.

Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment.

Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.

Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues.

Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor.

Prepare reports and forms as directed and in accordance with established policies.

Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of confidential documents; and basic Internet and email utilization.

Provide excellent and professional customer service to internal and external customers.

Function as contributing team member while meeting deadlines and productivity standards.

Resource for the front desk and other billers/coders

Oversight over outstanding A/R and work with other billers/coders to work down A/R weekly.

Review outstanding patient payments and determine who will be sent to collections submit report to Owner and Practice Administrator for approval.

Send out patient and insurance monthly statements.

Qualifications and Education RequirementsEducation: High school diploma or equivalent. Successful completion of program in medical billing current Certified Medical Reimbursement Specialist (CMRS) certification; or Associates Degree in Business Administration, Accounting or Health Care Administration may be preferred or required. Compliance with Supplemental Health Cares pre-assignment and medical requirements including: Hepatitis B Information or Waiver; and any additional state or facility medical requirements.

Preferred Skills

NextGen Experience is a plus

- Ophthalmology Knowledge Preferred

Attention to Detail

5 or more years medical billing/coding experience

In-depth Insurance knowledge

Copay, co-insurance, and deductible knowledge

Referral knowledge

Revenue cycle knowledge A must

Job Type: Full-time

Salary: $37,440.00 to $47,840.00 /year

Experience:

  • Medical Billing: 5 years (Required)
  • Ophthalmology Billing: 1 year (Preferred)

Additional Compensation:

  • Bonuses

Work Location:

  • One location

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