3 jobs found in Naperville

Main Function: Responsible for the management of medical professional liability claims and litigation for IHA affiliates which include the Illinois Provider Trust, Illinois Risk Management Services and Medical Alliance Insurance. Manages the professional and general liability claims for assigned healthcare systems, hospitals and physicians. Provides on-site client services, develops and presents educational programs and collaborates with risk management staff on identification and mitigation of risk management issues. Outline of Responsibilities: Responsible for management, case strategy and implementation of case action plan in collaboration with defense counsel Presuit evaluation of claims including investigation, medical record review, liability analysis, expert retention and discussion with insureds and clients Analyze claim submissions from clients and establish and maintain claim files and reserves Evaluate liability or defensibility of claims Notify...

Job Description Job Description Description: Employment Type: Full-Time Department: Billing / Revenue Cycle Job Summary We are seeking a detail-oriented and self-motivated Medical Biller to join our team in a full-time, remote capacity. The Medical Biller is responsible for submitting, tracking, and reconciling medical claims to ensure accurate and timely reimbursement while maintaining compliance with healthcare regulations. Key Responsibilities • Submit clean medical claims to commercial, Medicare, and Medicaid payers • Verify insurance eligibility and benefits • Ensure accurate CPT, ICD-10, and HCPCS coding • Monitor and follow up on unpaid or denied claims • Research, correct, and resubmit claim errors • Post payments, adjustments, and denials • Manage denial appeals and documentation • Respond to billing inquiries professionally • Maintain HIPAA-compliant billing records • Collaborate with internal teams via virtual communication tools Requirements:...

Job Description Job Description About the Role Our growing Ophthalmology practice is seeking an experienced Medical Biller with strong insurance and revenue cycle knowledge to join our team. This position plays a key role in maintaining the financial health of the practice while also supporting front desk operations to ensure a smooth patient experience. The ideal candidate has hands-on experience with ophthalmology billing, and is comfortable managing claims from submission through payment resolution. This is a great opportunity to join a patient-focused specialty practice where your billing expertise directly contributes to efficient operations and quality patient care. Key Responsibilities Submit and manage medical claims for ophthalmology services including office visits, diagnostic testing, and minor procedures Review and correct claim errors to ensure clean claim submission and maximize reimbursement Follow up on unpaid or denied claims and manage appeals when...