Hospital Reimbursement Specialist

Posted 4 Days Ago
Be an Early Applicant
60016, Des Plaines, IL, USA
In-Office
22-26 Hourly
Junior
Healthtech • Telehealth
The Role
Manages hospital reimbursement and accounts receivable, including unpaid claim follow-up, corrections, denials, payment variances, appeals, benefit verification, and payor contract review. Identifies reimbursement trends and root causes while ensuring account resolution complies with regulations. Requires knowledge of insurance programs, UB-04 forms, EOBs, medical terminology, and Microsoft Office. This is an onsite, full-time role with a Monday-Friday schedule.
Summary Generated by Built In

JOIN OUR TEAM AS A Hospital Reimbursement Specialist!

Schedule: M-F 8a-4:30p

Monthly bonus eligible!!! Onsite with many opportunities for advancement!


Your Work Matters How will you make a difference? 


The Hospital Reimbursement Specialist is a multi-task position that covers all the main functions of the business office. Specialists are assigned to one facility. The following tasks include: Contacting carries for follow up to collect on unpaid facility claims in a timely and accurate manner, submit account corrections and adjustments, denial management, payment variance management, and appeal submissions when required. Works with management to identify trends and address root causes of issues in the A/R. This position involves collaboration with other team members and departments, communication is essential in this role as account resolution must occur within a timely manner. Familiarity with the following insurances is key; Commercial, Managed Care, PPO/HMO, Managed Medicare, Managed Medicaid, Traditional Medicaid/Medicare.


Job Related Skills

  • Understanding of third-party payor rules and regulations.
  • Ability to read UB04 forms.
  • Able to read and understand an EOB.
  • Can take the necessary action for account resolution in accordance with established federal and state regulations.
  • Can verify benefits via online portal or over the phone.
  • Understand payor contracts and can verify the insurance company has paid correctly.
  • Ability to identify next steps required when a claim has been denied/rejected.
  • Excellent communication is needed to document accounts accurately.
  • Strong organizational and communication skills
  • Strong ability to prioritize and efficiently manage time.
  • Proficient computer skills with Microsoft Office

Your Experience Matters What we’re looking for:

  • Education & Licensure: High school graduate or equivalent preferred.
  • Experience: A minimum of one (1) years’ experience in a health care collections or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred.
  • Additional Skill Requirements: Knowledge of Microsoft Office including word, excel, and outlook. Competence in basic PC skills required to perform job functions. Working knowledge of basic medical terminology.

Your Care Matters What we provide for our team:

  • Monthly bonus eligible
  • 401(k) + matching
  • Health Insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long term disability insurance
  • Paid time off
  • Paid holidays
  • Cafeteria on site + discounted meals
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What sets us apart:

  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our northstar and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Chicago Behavioral Hospital.


Compensation:

This is a full-time position with an expected hourly rate of $22.00 – $26.00, plus monthly bonus eligibility. Compensation will be determined based on experience and qualifications. Join us as our next Healthcare Reimbursement Analyst and help support meaningful patient-centered care while advancing your career.

Qualifications

Get to know us Outstanding Care, Compassionate People, Unparalleled Service


Discover a fulfilling career at Chicago Behavioral Hospital (CBH)!


Welcome to the heart of mental health treatment innovation in Des Plaines, Illinois! CBH, a cutting-edge 150-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety.


At CBH, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.


Join us in providing exceptional care and contributing to the well-being of individuals and families in need and be a part of the transformative healthcare experience at Chicago Behavioral Hospital.


To learn more about CBH, visit us at: https://www.chicagobehavioralhospital.com/



TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

Individuals Maintaining Positive Attitude and Commitment To Service


____________________________________________________________

At Chicago Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

Skills Required

  • High school diploma or equivalent
  • At least one year of experience in healthcare collections, a healthcare business office, or a related field, or an equivalent combination of education, training, and experience
  • Knowledge of third-party payer rules and regulations
  • Ability to read UB-04 forms and EOBs
  • Ability to verify benefits and understand payor contracts
  • Ability to identify required actions for denied or rejected claims
  • Strong communication, organizational, prioritization, and time-management skills
  • Proficiency with Microsoft Office, including Word, Excel, and Outlook
  • Basic computer skills
  • Working knowledge of basic medical terminology
  • Experience with insurance billing and business software programs, including Excel
Am I A Good Fit?
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The Company
HQ: Des Plaines, IL
376 Employees

What We Do

Chicago Behavioral Hospital is a mental health facility providing specialized inpatient and outpatient treatment for mental health disorders and substance abuse.

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