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Crossing Healthcare

Billing Specialist

Crossing Healthcare, Decatur, Illinois, United States, 62523

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Billing Specialist

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Crossing Healthcare .

The Billing Office Specialist reports to the Director of Business Services and receives work directives from them. The Billing Office Specialist is responsible for and manages the claims process, including accurate and timely claims creation, follow-up and correspondence with insurance inquiries as well as posting both insurance and patient payments accurately and timely. The billing Specialist will also work in maximizing the accuracy, efficiency and promptness of the claim life-cycle.

Duties/Responsibilities

Addresses and resolves billing problems and disputes

Prepares and submits clean claims to third party payers either electronically or by paper

Maintains all records in professional and acceptable manner

Follows up with insurance companies on denials or rejected claims. Resolves issues and resubmits claims and documents denial and rejections

Posts payments received and ensures electronic and manual payments are properly posted in the EMR

Updates patient information and demographics on computer

Verifies patient eligibility for Public Aid and Medicare and Commercial Carriers

Serves as a contact for billing and other insurance issues

Performs other duties as required

Competencies

Ability to maintain confidentiality

Ability to make decisions and solve problems

Ability to prioritize and organize work

Ability to remain calm under stressful conditions

Ability to speak and write fluently in English

Ability to work in situations with limited interactions with others

Ability to work under minimal supervision

Proficiency in use of telephone system, computer, and basic office equipment

High level of interest in working with data

High level of mathematical and numerical abilities

Education and Experience

High School Diploma or equivalent

Knowledge of adult and/or pediatric office practice

Three (3) years successful experience in medical billing

AAS degree in Office Technology with healthcare specialty (preferred)

Education or experience in accounting or bookkeeping

Physical Requirements Little or no physical effort or strenuous activity other than incidental walking, standing, bending, reaching and carrying light loads (1-5 lbs.)

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Accounting/Auditing and Finance

Industries

Hospitals and Health Care

Illinois, United States $61,000.00-$90,000.00 4 weeks ago

Decatur, IL $49,902.40-$62,378.00 2 weeks ago

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