Billing Specialist - Naperville

Overview

Billing Specialist - Pulmonary

Position Details:

• Full-Time, 40 hours per week.
• Monday- Friday; Hours: 8:00am-4:30pm.
• Location: Naperville, IL - 1020 E. Ogden.
  
  

Benefits:

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
  
  

Under the direction of the Director of Operations, responsible for accurate and timely entry of charges to ensure payment of services rendered. Reviews, corrects, and accepts charges from the electronic work queues. Responsible for running and interpreting charge entry and outstanding encounter reports. Brings issues to the designated Practice Coding Coordinator.

Responsibilities

• (a) Hyperspace Entry: Enters office and/or hospital charges from the encounters provided by physicians. Encounter details include diagnosis, CPT codes, modifiers, place of service, referring provider and any additional information required on the claims. Reads and responds to all edits triggered by the claim scrubber. Flags charges that cannot be immediately resolved to the work queue for later resolution.
• (b) Epic Care EMR: Reviews provider entries and accepts charge sessions from the clean work queue. Reviews the pending work queue and makes changes/corrections within position’s scope of responsibility. Accepts charge sessions from the pending work queue. Reviews and interprets the Clinical Encounter Review Report.
• Runs daily Charge Entry Batch Report to balance the CPT hash total to the Charge Entry Batch Report to reconcile any discrepancies.
• On a periodic basis checks Outstanding Encounter Report to ensure all charges are posted to the accounts. Missing encounters are to be researched and resolved within 48 hours.
• Reviews transactions posted to patient accounts. Works with Coding Coordinator and Patient Financial Services staff on resolving billing and insurance claim issues. When appropriate adds notes to the account.
• Performs all other duties/responsibilities as assigned
  
  

Qualifications

Education:

• High school diploma or GED.
  
  

Experience:

• Prefer one year experience in customer service setting, preferably in a medical office with basic knowledge of medical terminology.
  
  

The compensation for this role includes a base pay range of $16-22.70 per hour, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.