Career Details
Full-Time Elmhurst, IL Posted on 3/25/2025
Assist in the entire billing and collection cycle as directed by the RCM Manager. Completes hard copy billing forms and submits documentation to respective payers. Identifies and resolves incomplete and inaccurate billing information to resolve payment problems. Works with manager to maintain acceptable aging parameters.Responsibilities and Duties of the RCM Specialist:
1. Performs in a timely manner manual and/or electronic claim submission. Makes every effort to assure that only clean claims are submitted to insurance carriers.
2. Requests prescriptions, CMN’s and letters of medical necessity and or other required information. Follow up on the collection of required documentation.
3. Helps all departments to ensure coverage of all equipment/supplies being ordered.
4. Maintains accurate and complete records concerning billing activity.
5. Communicates problems and concerns with manager which may lead to untimely completion of reimbursement processing.
6. Communication with patients/clients regarding individual account status
7. Pursues rebilling of denied claims and the collection of delinquent accounts in a consistent manner.
8. Files all related documents in patient/client files, in the absence of filing personnel, as needed.
9. Applies cash to patient accounts and makes adjustment and/or credit/debit memos as appropriate.
10. Research outstanding account balances and take the steps necessary to resolve payment issues
11. Understands the computer billing system.
12. Performs any other duties as assigned/requested by the manage
Qualifications:
• High school or equivalent required.
• 1-2 years’ experience in Medicare, Medicaid, or private billing.
• 1-2 years’ experience in Brightree preferred.
• Must be organized and detail oriented.
• Must have excellent phone and customer relations skills.
• Must be able to work independently as well as part of a team.
Pay rate: Starting at $18/hr.
Location: Inperson in Elomhurst, IL