Billing Reimbursement Specialist

Position Highlights

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

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

Benefits

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

About the Role

As a Billing Reimbursement Specialist, you will manage the hospital's billing processes and reimbursement procedures, working closely with insurance companies, patients, and internal departments to ensure accurate and timely reimbursement for medical services rendered.

Qualifications

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

Skills

• Strong attention to detail
• Excellent communication skills
• Knowledge of healthcare regulations and coding changes
• Ability to work independently and as part of a team

Endeavor Health

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.

Company Commitment

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

EEO Statement

We are an equal opportunity employer and consider applicants for all positions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.