Posted in Admin - Clerical 30+ days ago.
Type: Full-Time
Location: Machesney Park, Illinois
Always be in demand! Start your career in the exciting and growing field medical billing at a leading national billing company Experity, located right in Machesney Park. Get paid while getting the best training in the industry. If you are a positive, can-do person with a desire to improve yourself, consider applying to be a part of our world-class team.
We are ramping up our Billing department and have multiple openings available for the Medical Billing Rep/Medical Biller position. No experience required, training is provided!
Our Revenue Cycle Management (RCM) department processes claims for our Urgent Care clinics by ensuring accurate and timely reimbursement for the services they provide to patients. This includes processing payments and adjustments accurately, advising patients on financial obligations, and working with insurance providers to resolve appeals and errors.
At Experity, we offer much more than just a job. Here's what you can expect:
Comprehensive Benefits: Enjoy full coverage from day one, including Medical, Dental/Orthodontia, and Vision plans.
Employee Assistance Program: Our robust program covers counseling, legal assistance, financial education, pet adoption support, identity theft resolution, and much more.
Flexibility: We understand the demands of balancing work, family, and life. That's why we offer flexible work scheduling to help you achieve the perfect work-life balance.
Team Building: We believe in bringing our Team Members together to strengthen bonds, foster relationships, and, of course, have fun! From family picnics to holiday parties, we make sure to build a strong sense of community.
Total Compensation: Enjoy competitive pay, quarterly bonuses, and a 401(k) retirement plan with an employer match after 90 days of employment, ensuring your financial security both now and in the future.
Location: This position will be onsite Monday – Friday at our Machesney Park office.
Pay: $20 hourly
Job Type: Full time
Work Schedules: Monday – Friday
Responsibilities:
Applies payments and adjustments to patient accounts as appropriate.
Counsel patients regarding financial obligations related to account balances.
Follow up with insurance payers for processing of appeals and errors including paper appeals or online portal entry as needed.
Receive and resolve inquiries, concerns, or complaints related to patient accounts from patients, insurance carriers, employers, etc.
Responsible for resolution and appropriate refunding of credit balances. Includes working credit balance reports as needed.
Responsible for the review and resolution of denied claims on EDI reports.
Responsible for timely review and release of charges on hold.
Review and coding of patient medical record in compliance with standard coding guidelines.
Review explanations of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.
Review of unpaid claims, researching denials, and/or lack of activity to ensure timely payment and maintain cash flow.
Review and update patient and insurance demographics as appropriate.
Understand CPT, ICD-10, and HCPCS coding.
Provide feedback to providers regarding documentation in medical records.
Review and resolve EDI rejections and payer denials.
Print and mail corporate statements and secondary claims.
Review coding denials.
Other duties as assigned.
Education and Experience:
Preferred:
Every Team Member lives and breathes our Core Values:
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
See job description
