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Medical Biller

2 months ago


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

We 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 Responsibilities
  • Downloads and balances all new claims from the financial system to the respective billing system.
  • Processes claims, either manually or electronically as appropriate for adjudication.
  • Reviews correspondences received from payers relating to deferred, denied, or incomplete claims and corrects the claims for resubmission to the payer.
  • Monitors and resolves any errors evidenced by system "error" reports and reconciles any billing errors.
  • Maintains current knowledge of billing rules and practices through review of literature, networking, formal and informal training.
  • Identifies and relays to management, issues or trends that could affect Hospital cash flow.
Requirements
  • High School diploma; or two years college coursework in finance or equivalent in a healthcare setting.
  • Two years billing/collections experience.
  • Must have thorough knowledge of third-party billing and regulations and reimbursement law.
  • Proficiency in Lotus, Word Perfect, and 10-Key.
  • Previous experience with SMS; working knowledge of on-line accounts receivables systems.
  • Ability to establish and maintain effective communication with a wide variety of people.
  • Ability to define and resolve various issues that impede payment on accounts receivable.
  • Ability to read and understand complex financial information and contract terms.
What We Offer

West Suburban Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.