12 jobs found in Bloomington

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group  is seeking an experienced Medical Billing Specialist with demonstrated  Revenue Cycle Management (RCM)  expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage  full Revenue Cycle Management (RCM)  processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on  Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

Job Description Job Description Kaleidoscope's Vision We’re dedicated to making healthcare simpler, more transparent, and more human. Every claim we process, every payment we post, and every patient we assist is part of our commitment to ensuring people get the care they need without unnecessary stress. Accuracy, empathy, and integrity are at the heart of everything we do. The Impact You'll Make As our Medical Billing Specialist, you’ll be the bridge between our patients, providers, and insurance partners. Your expertise will ensure claims are processed quickly and correctly, payments are posted accurately, and follow-ups are handled with care. You’ll help keep our revenue cycle healthy—so our providers can focus on delivering exceptional care, and our patients can focus on healing. What You'll Do Prepare, review, and submit insurance claims to payors with precision and timeliness. Post payments and adjustments to patient accounts using our billing...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who...

HealthPartners in Minnesota is seeking a Risk Adjustment Coding Analyst Senior to review diagnosis coding and oversee vendor coding quality assurance. The role ensures that plan performance and revenue reflect the population's care needs and risks. The position requires strong chart review skills, knowledge of CPT/ICD coding, and experience with revenue cycle processes. Collaboration with providers and vendors is essential to maintain compliant coding practices. #J-18808-Ljbffr

HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. ACCOUNTABILITIES: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases collaborative efforts...

Total Rewards OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Expected pay for this position is $25.10 - $29.54/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position. Overview Candidates in Illinois or Michigan only, with inpatient coding experience or those who have already completed PCS procedure coding training are encouraged to apply. Monday-Friday 8:00am-4:30pm with start time negotiable POSITION SUMMARY: The Coder position assigns accurate ICD-CM/PCS & CPT/HCPCS codes to all pertinent diagnoses and procedures to introductory and other moderate level complexity coding assignments. Coder position...

Millennium Physician Group in Indiana is seeking a Risk Adjustment Coding Specialist II to review patient records after visits and translate documentation into provider-selected ICD-10-CM codes for claims processing. You will collaborate with the MRA Department to validate codes to the highest specificity, identify missing information, and maintain professional certifications while ensuring HIPAA compliance and timely submissions. #J-18808-Ljbffr

STI is seeking a Community Based Contract Compliance Auditor to join a regional team conducting on-site reviews of DCS community-based contracted provider businesses across Regions 8, 12, 13, 14, 15, 16, 17, and 18. The role focuses on accurate service and billing reviews and educating providers to implement corrective actions. The auditor will travel with a team to provider locations, participate in weekly meetings, and collaborate with a statewide team to improve processes while adhering to #J-18808-Ljbffr

STI in Indiana seeks a Community Based Contract Compliance Auditor to help monitor DCS contracted providers and ensure billing accuracy across multiple regions. The role involves on-site reviews and education, with a focus on preventing errors and developing corrective action plans. Travel to provider locations in regions 8, 12, 13, 14, 15, 16, 17, and 18 is required, with regular team meetings and coordination with the Central Office in Marion County. #J-18808-Ljbffr

Required/Desired Skills Bachelor's Degree in Social Work or Finance Related Field or 4 years' experience in an audit or investigations field. Required 4 Years Excellent verbal & written communication skills with ability to communicate effectively with State Agencies, Community Programs and colleagues. Required 0 Proficient in Microsoft Suite to include Outlook, Excel, Word, Teams Required 2 Years Strong attention to detail with ability to meet assigned deadlines. Required 2 Years Prior experience formulating and implementing audit corrective action plans. Required 2 Years Strong knowledge of applicable state laws, policies, service standards, and procedures. Required 0 Prior experience working as a billing auditor in a State or Federal Agency. Highly desired 2 Years The Community Based Contract Compliance Auditor will be part of a regional team that provides on-site monitoring and reviews of DCS community based contracted provider businesses. The auditor will...

Description The Community Based Contract Compliance Auditor will be part of a regional team that provides on-site monitoring and reviews of DCS community based contracted provider businesses. The auditor will conduct reviews throughout DCS regions 8, 12, 13, 14,15,16,17, and 18 which covers the bottom half of the state. Community Based reviews will evaluate DCS services and billing to assure there are no errors and billing has been performed appropriately. The auditor will educate, recommend and create plans of corrections when any errors are found. The auditor will conduct audits throughout the same regions as listed above. Community based audits will be a more comprehensive look at a providers practices from point of service to billing. The auditor will educate, recommend, and create plans of corrections as well as pursue any financial damages to the state within this process. The auditor will travel in a team to DCS contracted provider locations to conduct reviews and audits....

OSF HealthCare is seeking a Coder in Bloomington, IL to assign accurate ICD-CM/PCS and CPT/HCPCS codes for diagnoses and procedures. The role collaborates with the revenue cycle team to ensure proper billing and reimbursement and complies with coding guidelines. Qualifications include a high school diploma or GED and a certified coding program (RHIA/RHIT/CCS/CCS-P/CCA/CPC, etc.) with RHIA/RHIT-eligibility within one year of hire. #J-18808-Ljbffr