Billing Specialist

Billing Specialist - Hopedale, IL

Location: Hopedale, IL 61747

Project Duration: 13 weeks contract

Pay range: $20/hr - $22/hr

Shift: Days.

Position Summary

The Billing Specialist is responsible for the accurate and timely submission of claims to government and commercial payers across all service lines of the hospital complex, including facility (UB-04) and professional/clinic (CMS-1500) billing. This role ensures compliance with payer-specific requirements and CAH billing guidelines to maximize reimbursement and minimize denials.

Essential Functions

Prepare and submit clean UB-04 and CMS-1500 claims to Medicare, Medicaid, commercial, and other payers across all service lines in a timely manner.

Verify insurance eligibility and benefit information as part of the pre-billing process.

Review claims for accuracy of codes, modifiers, revenue codes, patient demographics, and payer-specific edits within TruBridge.

Monitor TruBridge claim edit and hold queues and resolve errors prior to submission.

Conduct follow-up on unpaid, rejected, or pending claims and initiate appropriate corrective action.

Maintain current knowledge of CAH billing requirements, swing bed billing, Medicare cost-based reimbursement, and payer-specific guidelines.

Document all billing activity and account notes accurately and timely in TruBridge.

Assist with month-end reporting and reconciliation as directed by the Business Office Manager.

Non-Essential Functions

Perform other duties as assigned by the Director, CBO or HIM Manager.

Assist with cross-training and support of other CBO staff as needed.

Minimum Qualifications

Education:

High school diploma or equivalent required

Associate's degree in a related field preferred

Experience:

Minimum 1-2 years of medical billing experience

Hospital or Critical Access Hospital billing experience preferred

Knowledge, Skills, and Abilities:

Knowledge of CPT, ICD-10, HCPCS coding, and revenue codes

Familiarity with UB-04 and CMS-1500 claim formats and Medicare/Medicaid billing requirements

Experience with TruBridge or comparable community hospital EHR/PM system preferred

Strong attention to detail, organizational skills, and ability to meet deadlines

Proficiency in Microsoft Office Suite

Preferred Qualifications

Experience with multi-service line facility billing including SNF, swing bed, and outpatient services

Licenses And Certifications

Preferred: CPB (Certified Professional Biller) or CPC

About generis tek: generis tek is a boutique IT/professional staffing based in Chicago land. We offer both contingent labor & permanent placement services to several fortune 500 clients nationwide. Our philosophy is based on delivering long-term value and build lasting relationships with our clients, consultants and employees. Our fundamental success lies in understanding our clients' specific needs and working very closely with our consultants to create a right fit for both sides. We aspire to be our client has most trusted business partner.