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Reimbursement Specialist II

Oak Brook, Illinois
23 Sep 2022

Major Responsibilities:

  • To review accounts and apply billing knowledge required for all insurance payers to insure proper and maximum reimbursement.
  • Verifies daily electronic claim submission
  • Acts as a liaison with external third party payer (insurance) representatives to validate and correct information.
  • To assist in the development of Reimbursement Specialist I s

Education/Experience Required:

  • High school diploma or GED equivalent. Three to four years related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.

Knowledge, Skills & Abilities Required:

  • Ability to read and interpret documents such as explanation of benefits (EOB),operating instructions and procedure manuals.
  • Knowledge of medical terminology, coding terminology (CPT,ICD-10,HCPC), and insurance/reimbursement practices.
  • Ability to communicate well with people to obtain basic information (via telephone or in person).Ability to write correspondence.
  • Ability to apply common sense understanding to carry out instructions.
  • Ability to problem solve moderately complex billing, coding and contract issues.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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  • Job Reference: 719477183-2
  • Date Posted: 23 September 2022
  • Recruiter: Advocate Aurora Health
  • Location: Oak Brook, Illinois
  • Salary: On Application