- IL Medicaid, Medicare, and Commercial insurance with an emphasis on Home Medical Equipment
- Daily review of EOB's, processes rejections and denials to determine if claim needs to be re-submitted or submitted for an appeal
- Verify benefits for orders
- Request and obtain prior authorizations/approvals for reoccurring and new referrals
- Review claims and mail or electronically submit, resubmit, and correct claims by utilizing the Medi system
- Maintain payer DSO goal at or below company standard
- Review all necessary medical information to recertify existing patients
- Process all Payer appeal requests within the required time frame
- Review AR Aging Report daily for collection of aging receivables, determination of whether an adjustment is supported, and documentation of work
- Research and medical criteria for coverage of equipment and supplies, quantity limitations, and requirements for submission
- Full cycle healthcare billing experience with Medicaid, Medicare, and commercial insurance billing, prior authorization, and processing of batch work
- Cash posting experience is a plus
- Knowledge of HCPCS, CPT and ICD-10 medical coding
- Proficient with Excel, Medi, Avality, Connex, E-Care, Passport; and Brightree experience a plus
- Strong oral and written communication skills
- Teamwork and interpersonal skills
- Ability to prioritize and multi-task providing a large work volume with a high level of efficiency
- 2-3+ years of billing experience and familiarity with referral authorizations and third-party healthcare billing procedures
- Exemplify the Independence Plus mission, vision, and values by acting in accordance with IPI policies and procedures
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Healthcare Biller - Oak Brook, United States - Independence Plus
Description
Job Description
Job DescriptionDescription:Competitive salary and full benefits available; PTO, medical, dental, vision coverage and 401(k) company match.
Independence Plus is expanding in all of our service areas and has an immediate opening for an experienced Medicare and Medicaid Biller familiar with requesting Prior Authorizations. This is a full-time position, working out of our Oak Brook, IL (DuPage County) office.
ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES
If you have any questions, contact Karen Shelton, Director of Billing and Intake, at For more information about the work we do, check us out on our website at or view an explainer video about our company at .
About Independence Plus: Since 1987, Independence Plus has been a leading provider of in-home nursing, rehabilitation, and high-tech medical equipment and supplies. We specialize in treating adult and pediatric patients with complex medical and respiratory needs, offering the highest quality one on-one care (with 24/7 on-call support) so our patients are able to live at home and lead meaningful lives. We are headquartered in Oak Brook, Illinois and are certified by Medicare, accredited by CHAP, and state-licensed. Our coverage area includes most of northern Illinois, including Chicagoland and the Rockford area. We also provide services in northwestern Indiana, southern Texas, and southeastern Wisconsin.
