Patient Accounts Billing Specialist

Salary: $22.83 Hourly
Location : Waukegan, IL
Job Type: Full-Time
Job Number: 13115
Department: Health Department
Division: Finance
Opening Date: 05/26/2026
Salary Grade: Hourly.4
Pay Grade: 4


General Description


The Patient Accounts Billing Specialist is a valuable member of our Finance team who under general supervision performs work of considerable difficulty in assisting with the administration of the Health Department's central billing office management program. The position has the responsibility for reviewing, researching, analyzing, and performing collections of outstanding patient balances. Ensures accurate records are kept for all sliding fee activity to ensure the agency complies with all appropriate regulations as required. Ensures patients with a spenddown amount within a government program have their services billed appropriately. Performs customer service and payment collection as assigned. Provides various patient management reports as needed. Use of multiple medical billing and financial programs are essential to this position. Strong problem-solving ability, high level analytical ability and critical thinking skills are needed to perform this role successfully.

Scheduled Hours: 37.5 hours per week

Essential Functions

• Responsible for processing patient refunds.
• Responsible for processing patient bad debt.
• Responsible for collection of private pay balances.
• Assist patients with obtaining access to a LCHD navigator, setup of payment plans or Financial Hardship using established protocols.
• Audit, analyze and correct patient sliding fee applications.
• Re-bill and adjust patient accounts as necessary using the NextGen system.
• Assist in deposit resolution between Treasurer's, clinics and Finance.
• Interpret and explain eligibility results.
• Create patient management reports using the NextGen system.
• Analyze and resolve accounts receivable aging issues.
• Use Microsoft Excel to create spreadsheets to assist in the analysis of patient data.
• Trace the transactions through NextGen from charge entry through claim creation as part of problem resolution.
• Resolve all patient inquiries from internal and external customers.
• Keeps thorough records of all activity including reporting and tracking of billing adjustments or corrections.
• Develops and maintains a basic knowledge of services available at the Lake County Health Department and Community Health Centers (LCHD/CHC).
• Participates in quality improvement activities to assess, monitor and improve program services.
• Participates in staff meetings, in service trainings, and seminars to facilitate professional growth and maintain licensure if required.
• Involvement in quality improvement activities on an ongoing basis.
• Assists with other projects and duties as assigned.

Knowledge Skills Abilities and Education Required

• Completion of a high school diploma or G.E.D. certificate. Associate's Degree or certification in health information technology or accounting is preferred.
• two years experience using an Electronic Practice Management system.
• Two years of collections experience in a provider setting.
• Advanced Proficiency in Excel and utilizing ten-key data entry is required.
• Experience with different reporting software.
• Bilingual is preferred.

Supplemental Information
As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members who can help make a difference in our agency and, most importantly, in our community.

Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at


At this time, you must live in Illinois or Wisconsin to be eligible to work at Lake County Health Department. You can find our salary grades at For unionized positions, a list of our collective bargaining agreements can be found here:

Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.

The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.
Here at the Health Department, we are proud to employ a diverse workforce of dedicated individuals focused on promoting the health and well-being of all who live, work, and play in Lake County. We are committed to cultivating an inclusive culture that values diversity of thought and collaboration, enabling each employee to perform at their maximum potential and to more effectively work with clients, patients, and employees. We offer:

• Comprehensive Benefits package (medical, dental, vision, etc.) for full-time employees
• Paid Time Off to support work-life balance
• IMRF Pension and 457 retirement plans
• Paid Parental Leave
• Tuition Reimbursement

You can find more details on our benefits on our website at
01


How many years of medical billing experience do you have?

• Less than 1 year
• 1 - 2 years
• 3 - 5 years
• 6 - 10 years
• 10+ years

02


Please summarize your relevant experience.
03


Please share why you are interested in working for this program and how your experience directly relates to this opening.
Required Question