Horizon Health · 3 months ago
CLINIC BILLING SPECIALIST
Paris, IL
Full-time
Onsite
New Grad, Entry Level
$15.75/hr - $25.22/hrHorizon Health is a Critical Access, Rural Health Facility serving residents of Edgar County since 1968. The medical billing specialist is responsible for ensuring accurate billing and timely submission of claims, while managing accounts for various insurance payers and utilizing EHR systems for efficient processing.
Health CareHealth DiagnosticsHospitalMedical
Responsibilities
Accurately completes the billing process for Medicare, Medicaid, Commercial, WC, Auto and Corporate Contracts which includes knowing timely guidelines and payer specific rules and regulations
Maintains and documents organized records and files of all correspondence with insurances companies and patients which includes accurate and detailed claim notes of all f/u
Works independently while utilizing initiative and judgement in carrying out work details which includes multitasking and time management to ensure the most effective use of time
Updates patient information and insurance information in the EHR system per phone calls with patients and/or insurance companies to get the most up to date information
Utilization of payer portals to retrieve accurate billing information which includes patient eligibility and claims status
Performs f/u on claims in a timely manner to avoid timely denials
Works with supervisor and coding team members to resolve claim denials derived from coding denials
Processes corrected claims based on payer specific guidelines
Completes appeals process on line or via paper submission with supporting documentation
Ability to analyze and interpret that claim denials are accurately sent to insurance companies
Process billing/insurance calls and questions from patients, providers offices, registration and patient service's staff
Ability to take payments, print billing summaries, send medical records for claim based requests
Ability to identify trends, and carrier issues relating to billing and reimbursements. Report finding to supervisor if large impact
Creates cases with EHR customer service when necessary
Qualification
Required
High School graduate or GED
Able to use office equipment - computer, copier, fax, etc
Ability to analyze and reconcile billing statements
Ability to communicate effectively and tactfully with patients and insurance companies
Proficient use of Word and Excel
Preferred
Prior billing office experience
Previous experience utilizing EHR
Benefits
Medical, dental and vision insurance
Employee 403(b)
Health savings account with Company match
Vacation
Sick
Paid Holidays
Company
Horizon Health
Horizon Health is a multispeciality center that focuses on offering primary healthcare and specialty services to its patients.
Founded in 1970
501-1000 employees
H1B Sponsorship
Horizon Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (1)
2022 (2)
2021 (1)
2020 (2)
Funding
Current Stage
Late StageCompany data provided by crunchbase