Billing Reimbursement Specialist

Billing Reimbursement Specialist

Hourly Pay Range: $19.89 - $28.84 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

• Position: Billing Reimbursement Specialist
• Location: Arlington Heights, IL
• Full Time
• Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview: As a Billing Reimbursement Specialist you will be responsible for managing the hospital's billing processes and reimbursement procedures. This role involves working closely with insurance companies, patients, and internal departments to ensure accurate and timely reimbursement for medical services rendered.

What you will do:

• Prepare and submit insurance claims for all patient services in accordance with insurance guidelines and hospital policies.
• Verify accuracy of patient demographic and insurance information.
• Review and resolve billing errors and discrepancies.
• Monitor the status of claims and follow up on outstanding or denied claims.
• Verify patients' insurance coverage and eligibility prior to services.
• Accurately post payments received from insurance companies and patients. Process refunds when necessary.
• Reconcile payments with billed amounts and identify discrepancies.
• Analyze and resolve claim denials by identifying the root causes. Generate and maintain reports related to billing, reimbursement, and collections.
• Collaborate with clinical and coding teams to address coding-related denials.
• Appeal denied claims as needed, adhering to appeal timelines.
• Assist patients with billing inquiries and provide clear explanations of their bills.
• Stay current with healthcare regulations, coding changes, and insurance policies.

What you will need:

• Associates Degree Health Administration Required
• Proven experience in medical billing and reimbursement, preferably in a hospital setting.

Benefits:

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.