Healthcare Biller Specialist

3 weeks ago


Oak Brook, Illinois, United States Independence Plus Full time
Job Title: Healthcare Biller

We are seeking an experienced Healthcare Biller to join our team at Independence Plus. As a Healthcare Biller, you will be responsible for processing and managing medical claims, prior authorizations, and insurance billing.

Key Responsibilities:
  • Process and manage medical claims, including reviewing EOBs, processing rejections and denials, and submitting claims for appeal.
  • Verify benefits for orders and request prior authorizations/approvals for recurring and new referrals.
  • Review claims and mail or electronically submit, resubmit, and correct claims using the Medi system.
  • Maintain payer DSO goal at or below company standard.
  • Review all necessary medical information to recertify existing patients.
  • Process payer appeal requests within the required time frame.
  • Review AR Aging Report daily for collection of aging receivables, determination of whether an adjustment is supported, and documentation of work.
  • Research and medical criteria for coverage of equipment and supplies, quantity limitations, and requirements for submission.
Requirements:
  • Full cycle healthcare billing experience with Medicaid, Medicare, and commercial insurance billing, prior authorization, and processing of batch work.
  • Cash posting experience is a plus.
  • Knowledge of HCPCS, CPT, and ICD-10 medical coding.
  • Proficient with Excel, Medi, Avality, Connex, E-Care, Passport; and Brightree experience a plus.
  • Strong oral and written communication skills.
  • Teamwork and interpersonal skills.
  • Ability to prioritize and multi-task providing a large work volume with a high level of efficiency.
  • 2-3+ years of billing experience and familiarity with referral authorizations and third-party healthcare billing procedures.
About Independence Plus:

Independence Plus is a leading provider of in-home nursing, rehabilitation, and high-tech medical equipment and supplies. We specialize in treating adult and pediatric patients with complex medical and respiratory needs, offering the highest quality one-on-one care (with 24/7 on-call support) so our patients are able to live at home and lead meaningful lives.



  • Oak Brook, Illinois, United States The LaSalle Group Full time

    Medical Biller Job DescriptionWe are seeking a skilled Medical Biller to join our team at The LaSalle Group. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to insurance carriers.Responsibilities:Stay up-to-date with functional area knowledge and company policies and procedures.Ensure all...


  • Oak Brook, Illinois, United States The LaSalle Group Full time

    Medical Biller Job DescriptionWe are seeking a skilled Medical Biller to join our team at The LaSalle Group. As a Medical Biller, you will play a critical role in ensuring the accurate and timely submission of medical claims to commercial insurance carriers.Responsibilities:Maintain knowledge of functional area and company policies and proceduresEnsure all...


  • Oak Brook, Illinois, United States The LaSalle Group Full time

    Medical Biller Job DescriptionWe are seeking a skilled Medical Biller to join our team at The LaSalle Group. As a Medical Biller, you will be responsible for accurately processing and submitting medical claims to insurance carriers.Responsibilities:Maintain knowledge of functional area and company policies and proceduresEnsure all claims are accurately...


  • Oak Brook, Illinois, United States The LaSalle Group Full time

    Medical Biller Job DescriptionWe are seeking a skilled Medical Biller to join our team at The LaSalle Group. As a Medical Biller, you will be responsible for accurately processing and submitting medical claims to insurance carriers.Key Responsibilities:Maintain knowledge of functional area and company policies and proceduresEnsure all claims are accurately...

  • Medical Biller

    6 hours ago


    Oak Brook, Illinois, United States The LaSalle Group Full time

    Are you looking for a new opportunity to grow your existing skillset while also gaining valuable experience to grow your own career? Our client, a nationally recognized healthcare provider, rewards teamwork, quality and innovation with opportunities for growth and development.A leading training program giving you the tools you need to succeed has been put in...


  • Oak Park, Illinois, United States West Suburban Medical Center Full time

    At West Suburban Medical Center, we are committed to providing exceptional patient care and service. We are seeking a highly skilled and detail-oriented Biller/Collector Specialist to join our team.The successful candidate will be responsible for administering the claims processing for all third-party payers and self-pay receivables. This includes...

  • Medical Biller

    4 weeks ago


    Oak Park, Illinois, United States West Suburban Medical Center Full time

    Job SummaryWe are seeking a highly skilled Medical Biller/Collector to join our team at West Suburban Medical Center. As a key member of our Patient Financial Services department, you will be responsible for administering the claims processing for all third-party payers and self-pay receivables.Key ResponsibilitiesDownloads and balances all new claims from...

  • Authorization Specialist

    23 minutes ago


    Oak Brook, Illinois, United States PSG Global Solutions Careers Full time

    Join PSG Global Solutions Careers and take on a challenging role as a Prior Authorization Specialist. **About the Opportunity** We're seeking a skilled Prior Authorization Specialist to join our team in Oak Brook, Illinois. As a key member of our healthcare team, you will be responsible for obtaining prior authorization from payers, gathering clinical and...


  • Oak Brook, Illinois, United States Advocate Aurora Health Full time

    About the RoleWe are seeking a highly skilled Medical Coding Specialist to join our team at Advocate Aurora Health. As a key member of our Health Information Management department, you will play a critical role in ensuring the accuracy and integrity of patient data.Key ResponsibilitiesReview and assign diagnosis and procedure codes using ICD-10 CM/PCS, CPT,...

  • Culinary Specialist

    2 weeks ago


    Oak Brook, Illinois, United States The Sheridan at Oak Brook Full time

    Job SummaryClover Healthcare is seeking a skilled Culinary Specialist to join our team. As a key member of our culinary team, you will be responsible for preparing high-quality meals for our residents, guests, and staff.Key ResponsibilitiesPrepare meals using standardized recipes and ensure that all food meets safety guidelines.Work effectively in a...


  • Oak Brook, Illinois, United States SCA Health Full time

    Job Title: RN PreOp PACU SpecialistJoin SCA Health, a leading healthcare organization, as a RN PreOp PACU Specialist. As a key member of our team, you will play a vital role in delivering exceptional patient care and contributing to our mission of providing high-quality outcomes and a better experience for patients and providers.Responsibilities:Assess...


  • Oak Brook, Illinois, United States Nationwide Credit & Collection Inc. Full time

    Job Title: Denial Management SpecialistWe are seeking a highly skilled Denial Management Specialist to join our team at Nationwide Credit & Collection Inc. in Oak Brook, IL.Job Summary:The Denial Management Specialist will be responsible for investigating insurance denials, analyzing EOBs, and correcting claims based on denials and rebilling using...


  • Oak Brook, Illinois, United States Nationwide Credit & Collection Inc. Full time

    Job Title: Denial Management SpecialistWe are seeking a highly skilled Denial Management Specialist to join our team at Nationwide Credit & Collection Inc. in Oak Brook, IL.Job Summary:The Denial Management Specialist will be responsible for investigating insurance denials, analyzing EOBs, and correcting claims based on denials and rebilling using...

  • Nurse Specialist

    1 week ago


    Oak Brook, Illinois, United States Independence Plus Full time

    Full-time, Part-time, and PRN OpportunitiesWe are seeking skilled Registered Nurses (RNs) to join our team at Independence Plus, a leading provider of in-home nursing, rehabilitation, and high-tech medical equipment and supplies. Our nurses become trained specialists in caring for medically complex adult and pediatric patients at home, many with rare...

  • Nurse Specialist

    2 weeks ago


    Oak Brook, Illinois, United States Independence Plus Full time

    Job OpportunityWe are seeking a skilled Registered Nurse to join our team at Independence Plus, a leading provider of in-home nursing and rehabilitation services. As a Nurse Specialist, you will have the opportunity to work with adult and pediatric patients with complex medical and respiratory needs, providing one-on-one care and support in the comfort of...


  • Oak Brook, Illinois, United States Advocate Aurora Health Full time

    About the RoleWe are seeking a highly skilled Financial Screening Specialist to join our team at Advocate Aurora Health. As a key member of our team, you will play a critical role in ensuring the financial integrity of our patient services.Key ResponsibilitiesAssess financial risk and negotiate pricing to optimize reimbursementParticipate in the development...


  • Oak Brook, Illinois, United States Nationwide Credit & Collection Inc. Full time

    Job Title: Denial Management SpecialistWe are seeking a highly skilled Denial Management Specialist to join our team at Nationwide Credit & Collection Inc. in Oak Brook, IL.Key Responsibilities:Investigate insurance denials to identify necessary actions to resolve claims, including calls to payors and use of multiple computer systems.Analyze EOBs at a claim...


  • Oak Brook, Illinois, United States Advocate Aurora Health Full time

    Job SummaryWe are seeking a highly skilled Financial Screening Specialist to join our team at Advocate Aurora Health. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and efficiency of our financial processes.Key ResponsibilitiesVerify patient insurance coverage and benefitsProcess medical claims and resolve...


  • Oak Brook, Illinois, United States Cedarhurst Senior Living Full time

    About the RoleCedarhurst Senior Living is seeking a highly motivated and results-driven Sales Specialist to join our team. As a Sales Specialist, you will play a critical role in driving occupancy and revenue growth in our communities.Key ResponsibilitiesFunction as the primary contact for phone inquiries and walk-in visitors to drive occupancyResponsible...


  • Oak Brook, Illinois, United States The LaSalle Group Full time

    We are seeking a skilled Medical Accounts Receivable Specialist to join our team at The LaSalle Group. As a key member of our Revenue Cycle team, you will be responsible for ensuring accurate and timely insurance claims follow-up and accounts receivable resolution for assigned payers.Responsibilities:Responsible for complex payers, aged claims, and special...