Medical Billing Specialist

• 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.
• Participates in staff meetings, in service trainings, and seminars to facilitate professional growth and maintain licensure if required.
• Involvement in quality improvement activities on an ongoing basis.
• Assists with other projects and duties as assigned
  

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

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. 

Additional information about the Lake County Health Department, our culture, and why you should join our team can be found athttps://lakecountyil.attract.neogov.com/health-department.

Currently, you must reside in Illinois or Wisconsin to work for the Lake County Health Department.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.  We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics. 

Salary : $22