Our growth is creating great opportunities! Our team is growing and we want to hire the most talented people we can. Once you've had a chance to explore our current open positions, please apply to the one you feel best suits you! You can keep track of your progress in the selection process as well as stay updated on new positions that might interest you. 

Shift

Monday - Friday, 730a-430p

Scheduled Weekly Hours

40

POSITION PURPOSE: 

This position is responsible for billing and follow-up activities for third-party payers.  This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing and collection of accounts. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals.

ESSENTIAL FUNCTIONS:

• Works daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the hospital billing system and makes necessary corrections to allow electronic submission.
• Reviews errors and edits in claim scrubber and makes appropriate corrections to ensure accurate claim submission.
• Prepares and submits manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
• Works with Health Information Management and other applicable departments to resolve questions related to medical codes, modifiers, and/or other elements present on the claim form.
• Coordinates medical record requests as needed.
• Performs follow-up to resolve aged claims and documents all reasons for reimbursement delays as well as actions taken within the patient accounting system.
• Investigates any overpayments and underpayments and reaches out to payers when necessary to follow up on pending or delayed claims.
• Regularly evaluates denials to determine if follow-up action is necessary, initiates the appeals process as needed, and informs supervisor of issues identified to prevent future claim denials.
• Reviews, investigates, and resolves credit balances. 
• Works with others to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.
• Maintains a thorough understanding of federal and state regulations as well as payer specific requirements in order to promote compliant claims submission practices.

SPECIALIZED KNOW-HOW & REQUIREMENTS

• High School Diploma or equivalent required.
• Associate degree in finance, business administration, healthcare administration, or a related discipline preferred.
• AAHAM certification preferred. 
• Prior experience with customer service and accounts receivable preferred.
• Prior experience in medical billing with familiarity with Medicare, Medicaid and insurance billing preferred.
• Excellent communications, customer service and organizational skills required.
• Computer literacy including operation and software application use required.

Compensation Range

$16.91 - $25.37

Available Benefits for Benefit Eligible Positions

Health and Dental Insurance

IMRF (Illinois Municipal Retirement Fund)

Retirement Fund (457 and 401A Plan)

Medical and Dependent Care Flexible Spending

Life Insurance

Short and Long Term Disability

Optional Insurances

Paid Time Off

Tuition Reimbursement and Loan Forgiveness

Gift Shop Discount

CGH Day Care Discount

CGH Dietary Discount

Employee Assistance Program

CGH Pharmacy Discount

CGH Vision Center Discount

Thank you for your interest in a career at CGH Medical Center.