- Validate and make corrections on the UB04 resolving all claim edits before claim submission.
- Review claims before submission for missing modifiers, charges, and/or implants.
- Validate pharmacy quantities are reflected on the claim correctly.
- Validate claim against the coding abstract to ensure accurate billing of procedures.
- Review 24 and 72-hour admission report combining claims, as needed.
- Split inpatient claims as appropriate, per carrier guidelines.
- Submit claims to carriers with the appropriate remarks and/or attachments.
- Run insurance eligibility as needed.
- Other billing assignments, within skillsets and abilities.
- High School Diploma or equivalent. Associates Degree or some college is preferred.
- Minimum 2-years Medicaid billing experience in an acute care facility.
- Working knowledge of Common Procedural Terminology (CPT) and ICD10 Codes.
- Working knowledge of Federal, State, Commercial, and County billing guidelines.
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Billing Specialist
2 days ago
Burger King Gurnee, United StatesPay rate: $20-25/hour. · The Billing Specialist / Office Manager partners closely with MJG Enterprises executive leadership team to support day-to-day operations, accounts payable/receivable responsibilities and ad-hoc requests. · **Key Responsibilities**: · - Perform financial r ...
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Billing Specialist
2 weeks ago
Chicago Cornea Consultants, LTD Highland Park, United StatesChicago Cornea Consultants, LTD is seeking a detail-oriented and highly organized Billing Specialist to join our team. As a recognized leader in ophthalmology, we are dedicated to delivering exceptional eye care services to our patients. As a Billing Specialist, you will play a c ...
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Billing Specialist
3 weeks ago
Josselyn Northbrook, United StatesThe Billing Specialist is responsible for executing the essential recurring tasks of the billing department. · **Essential Responsibilities and Metrics** · - Verifies client insurance within 24 hours of receipt. · - Sets client fees and explains financial responsibility. · - Crea ...
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Billing Specialist
2 weeks ago
Vantage Senior Care Lincolnwood, United States**Vantage Senior Care** · Lincolnwood, IL · Vantage Senior Care is looking for a full-time, energetic, and reliable Billing Specialist to handle the AR functions of our LTC Corporate Office · - _Must have at least 1 year A/R and/or billing experience in a LTC setting._ · - _Posit ...
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Billing Specialist
1 week ago
Spectrum Billing Solutions Skokie, United StatesSpectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client's revenue cycle is managed in the most efficient and streamlined manner. · We are s ...
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Ambulance Billing Specialist
3 weeks ago
MedEx Ambulance Service Skokie, United StatesMedEx Ambulance Service is seeking a full time, experienced Ambulance Billing Specialist. The duties include data entry, coding, medical necessity, and day-to-day ambulance billing. · Applicants must have ambulance billing experience, including knowledge of Medicare and Medicaid ...
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Billing Specialist I
2 weeks ago
Omnia Healthcare Group Lincolnwood, United StatesOmnia Healthcare is seeking an** **Insurance **Billing Specialist** to join our growing team. This individual works at the home office for a large group of skilled nursing facilities. · **Billing Specialist Job Responsibilities**: · - Verify payments and ensure accuracy and compl ...
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A/r Billing Specialist
1 day ago
ALIYA Healthcare Consulting Skokie, United States**Come join our AMAZING Team** · **ALIYA Healthcare is a skilled nursing company located in the Chicago area.** · **Our goal is to raise the bar on quality care and provide a positive customer service environment.** · **Hiring a Full-Time A/R Billing Specialist**: · - Competitive ...
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Billing Specialist I
1 day ago
Omnia Healthcare Group Lincolnwood, United StatesOmnia Healthcare is seeking an** **Insurance Billing Specialist to join our growing team. · **Responsibilities**: · - Verify payments and ensure accuracy and completeness of supporting documentation. · - Post daily payments to specific accounts/payer types in a timely manner. · - ...
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Billing Service Specialist
2 days ago
Quest Diagnostics Wood Dale, United StatesOverview: · **Billing Service Specialist - Wood Dale, IL - Monday to Friday 8:00AM-5:00PM** · Manage and educate accounts that are considered billing top-offenders with Missing Information and valid - ABN rates. Recover account Missing Information for records in BIP >30 days old. ...
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Medical Billing Specialist
3 days ago
Ear Nose & Throat Center Buffalo Grove, United StatesMedical biller for an ENT physician's office in Buffalo Grove - Responsibilities include: · - As a medical biller, you will be processing and posting Insurance and patient payments · - Receive and initiate patient calls to resolve billing or payment concerns · - Review and commun ...
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Medical Billing Specialist Mental Health
2 weeks ago
Courage to Connect Therapeutic Center Glenview, United States_Medical Biller Mental Health_ · - Medical Billing Specialist (IN OFFICE) _ · Courage to Connect Therapeutic Center is a Mental Health Group Private Practice and is looking for a Medical Biller/Accounts Receivable/Claims Associate, who is highly motivated, responsible, reliable a ...
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Billing Specialist
2 days ago
Chicago Cornea Consultants Highland Park, United States PermanentChicago Cornea Consultants, LTD is seeking a detail-oriented and highly organized Billing Specialist to join our team. As a recognized leader in ophthalmology, we are dedicated to delivering exceptional eye care services to our patients. As a Billing Specialist, you will play a c ...
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Billing Specialist
2 weeks ago
Josselyn Northbrook, United StatesJob Description · The Billing Specialist is responsible for executing the essential recurring tasks of the billing department. · Essential Responsibilities and Metrics · Verifies client insurance within 24 hours of receipt. · Sets client fees and explains financial responsibility ...
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Billing Specialist
2 weeks ago
Josselyn Northbrook, United StatesJob Description · The Billing Specialist is responsible for executing the essential recurring tasks of the billing department. · Essential Responsibilities and Metrics · Verifies client insurance within 24 hours of receipt. · Sets client fees and explains financial responsibi ...
-
Billing Specialist
2 weeks ago
Spectrum Billing Solutions Skokie, United StatesSpectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client's revenue cycle is managed in the most efficient and streamlined manner. · We are ...
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Billing Specialist
2 weeks ago
Operations Manager Itasca, United StatesJob Description · Job Description · Billing Specialist · - Itasca, IL · $22-$24 hourly (Includes full benefits) · Our mission is to become the premier environmental services company in the nation. We will accomplish this goal by assembling exceptionally talented professionals ...
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Billing Specialist
1 week ago
Chicago Cornea Consultants, LTD Highland Park, United StatesJob Description · Job DescriptionChicago Cornea Consultants, LTD is seeking a detail-oriented and highly organized Billing Specialist to join our team. As a recognized leader in ophthalmology, we are dedicated to delivering exceptional eye care services to our patients. As a Bill ...
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Billing Specialist
3 weeks ago
Josselyn Northbrook, United StatesJob Description · Interested in expanding the reach of mental health care in our communities? Interested in joining a rapidly growing organization that puts people first and the communities we serve at the center? · The Josselyn Center team is growing as we expand our Community ...
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Billing Specialist
1 day ago
Brilliant Financial Staffing - IL Des Plaines, United StatesJob Description · Job DescriptionBrilliant Financial Staffing has been engaged in the search for a Billing Specialist for our client located in Des Plaines, IL . Our client is a well-established organization who specializes in creating displays for various retail organizations. T ...
Medicaid Billing Specialist - Waukegan, United States - AHS Vista LLC
Description
Job Description
Job DescriptionUnder the direction of the Director of Revenue Cycle or designee, the Medicaid Billing Specialist ensures all traditional Medicaid and Medicaid Managed Care claims are reviewed for claim edits, claim submission, and timely follow up.
Responsibilities:
Requirements: