Job Description
We are seeking a Billing Specialist to join the Finance team. This position is responsible for accurate medical claims submission through the electronic medical record system to insurance companies and to the State’s payment system. This individual will be the liaison between the agency and the insurance companies and the State payers.
Schedule: This is a 1st shift position, Monday - Friday 8:00 AM - 4:30 PM.
Responsibilities - Assist in patient registration by collecting new patient information such as demographic and health insurance information.
- Submits medical claims such as service encounters and data transactions into the Electronic Medical Record EMR system and/or other medical billing portals.
- Assures data accuracy through reviewing services and transactions for duplicates and other billing errors; informs parties involved of corrections needed.
- Communicate and follow-up with insurance or State payers on unpaid claims; troubleshoot and resolve issues on rejected medical claims.
- Tracks and maintains accurate records of billing and payment collection activities.
- Maintains and updates data and forms within EMR ensuring compliance with payers billing instructions.
- Works with the appropriate staff to ensure efficiency and accuracy of billing/reporting systems.
- Provides support for staff training of EMR system functions/changes.
- Exports data from EMR system as needed to generate reports for data analysis, monthly reconciliation, productivity and grant applications.
- Maintains knowledge as a subject matter expert on billing rules, maintains mandated billing education and attends webcasts and other payer requirements.
- Trains staff members to understand billing rules.
- Assists in ensuring program integrity and efficiency throughout the ERM system.
- Facilitates and monitors to ensure that the EMR system communicates with the State’s system and other insurance payers.
- Facilitates changes to support end-user and/or supervisory requests.
- Coordinates program and clinician enrollment on insurance panels; assist in completing and renewing credentialing applications and applications for each insurance company as required.
Qualifications - High School Diploma
- At least 2 years of experience in a healthcare environment utilizing an EMR system
- Valid Illinois Driver’s License
Benefits We offer the following benefits: health, dental, life, LTD, 403b retirement plan, paid vacation, personal days, sick days and 10 paid Holidays. Also, all employees working more than 20 hours per week receive free long-term disability and free life insurance 2.5x your annual salary.
About St. Coletta's Of Illinois At St. Coletta's, our mission is to serve children and adults with intellectual and developmental disabilities so they can achieve their greatest potential. Founded in 1949 by the Sisters of St. Francis of Assisi, St. Coletta’s of Illinois provides a lifelong continuum of care beginning in early childhood. Our residential, educational and vocational training programs provide services for adults and children with intellectual and developmental disabilities that enhance their independence and well-being. We serve participants without regard to race, religion or economic background. St. Coletta’s meets individuals’ needs and abilities while providing the least restrictive environment for growth.
Job Tags
Holiday work, Day shift, Monday to Friday,