Job description

As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members, who can help make a difference in our agency, and most importantly, in our community.

The Medical Billing Specialist serves our community through assisting with the administration of the Health Department’s central billing office management program and has the responsibility for reviewing, researching, analyzing and acting upon all claim rejections received from Medicaid, Medicare, private insurance and all other revenue sources. Services include medical, mental health, substance abuse and dental.

Essential Functions

• Processes and analyze claim rejection reports from the NextGen, Viatrack or Value Options systems and act upon the findings in a timely manner.
• Analyze the explanation of benefit advises from the various payers to ensure the accuracy of the data entered into NextGen for Medicaid, Medicare, private insurance and other third party payers.
• Re-bill and adjust patient accounts as necessary using the NextGen system.
• Create patient management reports using the NextGen system.
• Analyze and resolve accounts receivable aging issues.
• Use Microsoft Excel to create spreadsheets to assist in the analysis of patient data.
• Analyze pending insurance account payer accounts in the NextGen system in order to have accurate processing of claims.
• Analyze and correct patient sliding fee adjustments in NextGen as needed.
• Trace the transactions through NextGen from charge entry through claim creation as part of problem resolution.
• Differentiate between clearing house rejections and payer rejections by frequently working within the Viatrack clearing house environment.
• Resolve all billing inquiries from internal and external customers.
• Gives appropriate information referrals and documents as necessary.
• Keeps thorough records of all activity including reporting and tracking of billing adjustments or corrections
• Ensures accurate records are kept for all billing activity to ensure the agency complies with all appropriate regulations as required.
• Provides various patient management reports as needed.

Scheduled Hours: 37.5 hours a week

• Monday - Friday (9:00am - 5:00pm)

Knowledge Skills Abilities and Education Required

• Completion of a high school diploma or G.E.D. certificate required (Associate’s Degree or certification in medical technology or accounting is preferred).
• Four years experience in a medical billing or accounting office setting is required.
• Bilingual is preferred.

Job Type: Full-time

Pay: $20.22 - $23.65 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Waukegan, IL 60085: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing/accounting: 4 years (Preferred)

Work Location: In person

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