Insurance Billing Specialist

Insurance Billing Specialist (Onsite - Hopedale, IL) We are seeking an experienced Insurance Billing Specialist to join our team onsite in Hopedale, IL. This role is responsible for ensuring accurate and timely reimbursement for hospital and hospital-based services while supporting the full lifecycle of insurance claims processing. This is a great opportunity for someone who is detail-oriented, analytical, and enjoys problem-solving in a fast-paced healthcare environment. Key Responsibilities Insurance Claims ProcessingReview patient accounts to verify accurate billing of services and chargesPrepare and submit clean UB-04 claims (electronic and paper)Identify and resolve billing discrepancies prior to submissionGenerate Medicare, Medicaid, and commercial insurance claims Claims Follow-Up & ResolutionMonitor and follow up on unpaid or denied claimsInvestigate discrepancies and coordinate with internal/external stakeholdersPrepare and submit appeals with appropriate documentationMaintain detailed documentation of all follow-up activities Payment Posting & ReconciliationReview Explanation of Benefits (EOBs) for accuracyPost payments and reconcile against contract termsCalculate contractual adjustments as neededEscalate non-collectible accounts with proper documentation Accounts Receivable ManagementMaintain assigned A/R accounts at targeted levelsEnsure timely follow-up on outstanding balancesResolve credit balances and process refunds when applicable Additional ResponsibilitiesStay current on payer requirements and billing regulationsSupport team training and act as a resource for billing questionsAssist patients and insurance providers with billing inquiries QualificationsHigh school diploma required; some college preferred1-2 years of experience in medical billing or healthcare revenue cycle (preferred)Working knowledge of Medicare Part A, Medicaid, and commercial insurance processesFamiliarity with medical billing systems (CPSI/TruBridge experience a plus)Proficiency in Microsoft Office (Word, Excel, Outlook)Strong attention to detail and organizational skillsExcellent communication and customer service skillsAbility to work independently with minimal supervision Work EnvironmentOnsite position in Hopedale, IL (not remote)Must be able to commute reliably