Medical Reimbursement Specialist

Join Illinois CancerCare as a Reimbursement Specialist, where your expertise in analyzing, investigating, and resolving unpaid insurance claims will facilitate prompt payments from insurance payers. This role requires a compassionate approach, maintaining patient confidentiality while providing exemplary service to our patients and their families.

Pay & Benefits

• Hiring Pay Range: $17.00-$28.00 per hour
  (Based on experience, education, and other factors)

• Medical, dental, and vision insurance (multiple plan options)
• Special wellness programs - Maven, HingeHealth, Livongo, Vitality, and Wondr
• 401(k) retirement plan with employer contributions
• Company-paid life, short-term, and long-term disability insurance
• Health Savings Account (HSA) & Flexible Spending Accounts (FSA)
• Paid time off and holidays
• Employee Assistance Program (EAP)
• Discounts through our Perks Program

Responsibilities

• Processes Medicaid/Medicare and Commercial insurance correspondence requests.
• Process appeals with appropriate supporting documentation to carriers, log & scan into billing software and follow appeal until resolved.
• Timely follow-up of Accounts Receivable. Update changes of insurance and verify benefits for each change.
• Back up to Payment Posters - Post and Balance Insurance remittances.
• Answer telephone, screen calls, take messages and provide information from patients, ILCC staff and providers in a courteous manner.
• Assists patients with questions, problems, etc.
• Assists in the processing of insurance claims including Medicaid/Medicare and private insurance.
• Maintain knowledge of Medicare/Medicaid and private insurance updates of information as well as policies and payer trends.
• Observe OSHA and facility policies and guidelines.
• Maintain patient confidentiality.
• Excellent internal and external communication skills needed.
• Adhere to the ILCC employee handbook, HIPPAA policies and ILCC code of conduct.
• Must be available to work additional hours as needed.

Qualifications

• High School Diploma or GED required.
• 3-5 years medical billing/Accounts Receivable experience.
• CPC preferred.

SPECIAL PHYSICAL REQUIREMENTS: Requires prolonged standing or sitting. Requires frequent bending, reaching, squatting, stooping. May require lifting up to 50 pounds. Hand-eye coordination and manual dexterity is a must. Hearing must be within normal range for telephone contact. Must be able to operate office equipment such as, computers, telephones, faxes or copy machines. Requires normal vision range and the absence of color blindness.

CONSIDERATIONS/TYPICAL WORKING CONDITIONS: The employee has limited exposure to toxic substance and is expected to be familiar with the dangers and proper handling of such. The employee is exposed to communicable diseases and other conditions common to the clinical environment. Safety policies and good health practices are to be understood and observed. Work is performed in an office environment. It involves frequent contact with staff and patients. Work may be repetitious as well as stressful at times. Contact may involve dealing with angry or upset people.