Chicago Center for Sports Medicine and Orthopedic Surgery
Tinley Park, IL, USA
The Medical Billing Specialist is a key member of the financial team at the Chicago Center for Sports Medicine & Orthopedic Surgery. This role is primarily responsible for ensuring accurate and timely processing of insurance payments, conducting appeals on improperly processed claims, and maintaining diligent follow-up on outstanding claims and denials. The Specialist will also assist with coding issues and patient inquiries regarding billing. Key Responsibilities: Payment Posting: Accurately post insurance payments from mail batches and electronic funds transfers (EFT) from various sources, including websites and ECW EFTs. Review and reconcile payment entries to ensure that all payments are accounted for and properly posted. Claims Management: Conduct thorough follow-ups on all outstanding insurance claims to ensure timely reimbursement. Investigate and appeal underpaid or denied claims by gathering necessary documentation and submitting detailed appeals to...