Medical Billing Specialist

Job Description Here are the job details for your review: Job Title: Medical Billing SpecialistClient: Hopedale Medical ComplexLocation: 107 Tremont Street Hopedale, IL 61747Duration: 13 weeks Shift: Days-M-FPay Rate: $21.68 hr on W2Position SummaryThe Billing Specialist is responsible for the accurate and timely submission of claims to government and commercial payers across all service lines of the hospital complex, including facility (UB-04) and professional/clinic (CMS-1500) billing. This role ensures compliance with payer-specific requirements and CAH billing guidelines to maximize reimbursement and minimize denials.Essential FunctionsPrepare and submit clean UB-04 and CMS-1500 claims to Medicare, Medicaid, commercial, and other payers across all service lines in a timely manner.Verify insurance eligibility and benefit information as part of the pre-billing process.Review claims for accuracy of codes, modifiers, revenue codes, patient demographics, and payer-specific edits within TruBridge.Monitor TruBridge claim edit and hold queues and resolve errors prior to submission.Conduct follow-up on unpaid, rejected, or pending claims and initiate appropriate corrective action.Maintain current knowledge of CAH billing requirements, swing bed billing, Medicare cost-based reimbursement, and payer-specific guidelines.Document all billing activity and account notes accurately and timely in TruBridge.Assist with month-end reporting and reconciliation as directed by the Business Office Manager.Non-Essential FunctionsPerform other duties as assigned by the Director, CBO or HIM Manager.Assist with cross-training and support of other CBO staff as needed.Minimum QualificationsEducationHigh school diploma or equivalent required.Associate's degree in a related field preferred.ExperienceMinimum 1–2 years of medical billing experience.Hospital or Critical Access Hospital billing experience preferred.Knowledge, Skills, and AbilitiesKnowledge of CPT, ICD-10, HCPCS coding, and revenue codes.Familiarity with UB-04 and CMS-1500 claim formats and Medicare/Medicaid billing requirements.Experience with TruBridge or comparable community hospital EHR/PM system preferred.Strong attention to detail, organizational skills, and ability to meet deadlines.Proficiency in Microsoft Office Suite.Preferred QualificationsExperience with multi-service line facility billing including SNF, swing bed, and outpatient services.Licenses and CertificationsPreferred: CPB (Certified Professional Biller) or CPC.Physical RequirementsThe physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals