Medical Billing Reimbursement Specialist

Medical Billing Reimbursement Specialist

Join Illinois Cancer Care 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.

• 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, Hinge Health, 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

• 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, HIPAA policies and ILCC code of conduct.
• Must be available to work additional hours as needed.

• High school diploma or equivalent (required)
• Experience in a medical office or insurance-related role preferred
• Strong understanding of medical terminology and insurance processes
• Excellent communication, organization, and customer service skills
• Ability to work independently and manage multiple priorities in a fast-paced setting

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds.

Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.

• Entry level

• Full-time

• Health Care Provider

• Hospitals and Health Care