Facility Biller

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This range is provided by Insight Health Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$46,000.00/yr - $62,000.00/yr

At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full‑service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world‑class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients.

Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!

We are seeking a motivated individual who is detail oriented and takes a collaborative team approach to problem solving. The Facility Biller & AR Specialist performs the day‑to‑day billing and follow‑up activities concerning facility claims for multiple locations and specialties. The Facility Biller & AR Specialist will review coding, correct and submit front‑end rejections from the clearing house, review rejections from third‑party payers, along with analyzing and monitoring any aged accounts receivable through identifying areas of concern by age, category, payer, provider specialty, and facility to order to resolve claim issues and resubmit in a timely manner.

Our ideal Facility Biller & AR Specialist will be able to demonstrate juggling multiple tasks while simultaneously exhibiting professionalism and superior communication skills at all times.

• Reviews coding and corrects front‑end rejections in a timely manner for resubmission.
• Assists uploading of daily 837 files, monitoring unbilled accounts.
• Reprocesses rejections and files appeals for claim denials to ensure maximum reimbursement for services provided.
• Contacts insurance companies regarding outstanding insurance balances.
• Identifies what is needed for resubmission, checks eligibility, ensures authorization is on file, and verifies claim status on payer websites to ensure all the necessary billing information has been satisfied to resolve the account balance.
• Contacts patients for updated insurance information when necessary.
• Monitors and follows up on aged trial balance report by identifying areas of concern which may cause cash delays.
• Resolves issues involving third‑party payers.
• Communicates internal/external issues that cause cash delays in a timely manner.
• Answers patient calls and responds to questions in a timely manner.
• Ensures patient account billing information and account balances are up‑to‑date; makes necessary adjustments in the computer system and documents all activity taken on the account for an audit trail.
• All other duties as assigned.

• Demonstrates eligibility to work for any employer in the U.S.
• High school diploma, GED, or suitable equivalent required. Associate’s or Bachelor’s Degree in Business, Healthcare or related field preferred.
• 3+ years of coding/billing follow‑up experience in revenue cycle functions for a large multi‑specialty physician office or hospital setting, preferred.
• Billing and coding experience in one of the following areas:
  Neurosurgery, Orthopedic, Anesthesia, and In‑patient, preferred.
• Certified Professional Biller (CPB), Certified Professional Coder (CPC) through AAPC, or Certified Revenue Cycle Specialist (CRCS) through AAHAM, preferred.
• Knowledge of eCare CMS, a plus.
• Knowledge of general principles in regard to medical billing including verification, authorization, posting charges, procedures, diagnosis, medical necessity as well as knowledge of federal and state regulations and billing rules.
• Knowledge and understanding of CPT, HCPCS CCI, MUE, ICD‑10, NCD, informational and payment modifiers.
• Knowledge of…