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Electronic Billing Specialist

Company: Lake County Health Dept
Location: Waukegan
Posted on: November 10, 2019

Job Description:

Electronic Billing SpecialistTracking Code14482Job DescriptionDo you want a career where you can truly make a difference?The Lake County Health Department and Community Health Centeris one of the largest human service providers in Lake County. We live our mission each day, promoting the health and well-being of all who live, work, and play in Lake County. If you are passionate about giving back and ready to be a part of an innovative team, we are looking for you!About the Role:Under general supervision performs work of considerable difficulty in assisting with the administration of the Health Departments central billing office management program. The position has the responsibility for reviewing, researching, analyzing and processing all paper and electronic EDI billing files to Medicaid/Managed Care Organizations, Medicare, private insurance and all other revenue sources through our clearinghouses, Viatrack and InMediata. 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. Assists with other billing projects as needed. Location: 3010 Grand Ave, IL 60085Hours: 37.5 hours a week, Monday - Friday (9:00am-5:00pm)FLSA STATUS: HourlySkills and Experience

  • Processes and analyze electronic claims through NextGen, Viatrack, InMediata or Value Options systems and act upon the findings in a timely manner.
  • Process paper claim.
  • Analyze and resolve all claim edit errors using Viatrack and NextGen.
  • Review and process all private patient statements in NextGen and transfer data accurately to the central printing office at the county for printing and mailing.
  • 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 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 billing inquiries from internal and external customers.Education, Qualifications, and Certification:
    • Completion of a high school diploma or G.E.D. certificate. Associates Degree or certification in medical technology or accounting is preferred.
    • Three years experience in a medical billing or accounting office setting is preferred.
    • Knowledge of the principles and practices of medical billing.
    • Knowledge of the rules, regulations, and requirements of medical billing to Medicare, Medicaid/Managed Care Organizations and private insurance.
    • Knowledge of federal regulations pertaining to billing for medical services provided by a Federal Qualified Health Center including encounter rate billing.
    • Knowledge of medical CPT codes, HCPC codes and medical technology. About the Perks:Lake County offers a competitive salary and benefit package with performance-based incentive plans. We also offer flexible working hours, and a comprehensive wellness and training program. Visit theHealth Departmentpage to get additional information on why you should work for us. If you would like to learn more about our community impact and to see some of our employees in action, please review this shortvideo.Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.The Lake County Health Department and Community Health Center is an Equal Opportunity Employer.Job LocationWaukegan, Illinois, United StatesPosition TypeFull-Time/RegularSalary19.26 - USDApplications will be acceptedPosition is subject to close at any time.

Keywords: Lake County Health Dept, Waukegan , Electronic Billing Specialist, Accounting, Auditing , Waukegan, Illinois

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