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401(k)

401(k) matching

Competitive salary

Dental insurance

Health insurance

Opportunity for advancement

Paid time off

Training & development

Vision insurance

Role Overview
We are seeking a highly detail-oriented Medical Biller with specialized experience in Pain Management, Orthopedics, Imaging, Physical Therapy, and Home Health billing. The ideal candidate isn't just a data entry clerk; you are a denial management expert who understands the complexities of Workers’ Compensation (IWCC) and commercial insurance claims. You will take ownership of the revenue cycle, from initial submission to the final appeal of a denial.

Specific Requirements

Specialty Expertise: Proven experience billing for Professional Imaging, Physical Therapy (understanding timed units), and Home Health services.

Injury Claim Specialist: Deep understanding of Commercial and Injury claims, specifically navigating the Illinois Workers’ Compensation Commission (IWCC) guidelines.

Portal Proficiency: Daily experience using Availity, Connex, and IWCC portals for claim status and eligibility.

The “Appeal Artist”: You don’t just accept a denial; you know how to interpret an EOB, identify the root cause, and craft winning appeals to recover revenue.

Technical Skills: Proficient in Microsoft Office (specifically Excel for AR tracking) and experienced with EHR/Billing software.

Key Responsibilities

Full-Cycle Claims: Generate and submit electronic and paper claims with 100% accuracy.

Coding Integrity: Review patient records to ensure CPT, ICD-10-CM, and HCPCS codes align with services rendered.

Denial & Appeal Management: Actively resolve rejected claims and manage the formal appeal process for disputed payments.

AR & Payment Posting: Accurately post payments, manage accounts receivable, and perform diligent follow-ups on outstanding balances.

Verification & Authorization: Verify insurance eligibility and secure pre-authorizations to prevent front-end denials.

Patient Advocacy: Act as a resource for patients, clearly explaining benefits and answering billing inquiries with professionalism.

Monitor Denials and Corrections: Track claim denials, identify errors, and resubmit correct claims.

Patient Billing and Collections: Generate invoices for patients, manage outstanding balances and handle payment plans.

Education & Experience

Medical Billing/Coding Certificate or Associate degree is required. If no billing and coding certificate is available, a recent graduate of the medical billing and coding program will be required.

Minimum 2+ years of experience in medical billing and collections or a recent graduate of a Certified Medical Billing and Coding program is required.

Firm grasp of HIPAA, CMS guidelines, and insurance compliance.

Spanish Speaking preferred but not required.

Be willing to work Full time with no restrictions.

Pay
$17.00 – 19.50

Hours / Schedule
Monday through Friday 8:00 am to 4:00 pm. Occasional Saturday with a rotating schedule with the rest of the billing team.

Location
Fullerton/Kimball Surgical Center 3412 W. Fullerton Ave. Chicago, IL 60647

Additional Benefits and Perks (if full time hours are met)

AFLAC insurance: Available after 90 days of employment.

Health, Vision, and Dental after 90 days of employment, Employer will pay 50%.

5 paid sick days per year, 2 weeks paid vacation after 1 year of employment.

401K Matching: 1% non-contributing match provided by the company, up to 4% match with employee contributions after 1 year of employment.

#J-18808-Ljbffr
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401(k)

401(k) matching

Competitive salary

Dental insurance

Health insurance

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The position bills claims to HMO's, Blue Cross Plans, Medical Assistance, and Medicare. Reviews registrations for complete information obtained by registration to insure accurate billing. Performs a variety of duties relating to interfacing with insurance professionals. Performs duties relating to the processing of data for billing purposes. The Primary Billing/Collections Specialist will actively participate as a member of the healthcare team to engage patients, families, and caregivers in the coordination of patient care.
Minimum Requirements

High School graduate or equivalent. Graduate of an approved medical secretarial Associate Degree program preferred.
Relevant experience in a related position which has provided the applicant with strong working knowledge in HIPPA compliance coding and billing.
Knowledge, Skills, Abilities

Demonstrating knowledge in HIPPA compliant ICD-9 CM Diagnosis and procedure codes, CPT-4 codes, billing HIPPA compliant claims electronically on standard hospital forms or (alternatively). Must have working knowledge and proficiency in computer operation. This individual must be able to work as a team member with job sharing. Ability to speak clearly and communicate effectively in a pleasant tone to staff and insurance professionals regarding charges, coding and diagnosis problems is essential. Possess thorough knowledge of claims submission process. Must have knowledge of the assigned third parties' billing requirements. Must display professional mannerism and appearance.
License/Certification/Registration

None
Working Conditions

Normal office environment. May require working various shifts to ensure adequate coverage.
Physical Demands

Requires manual and finger dexterity and hand-eye coordination. May require long periods of sitting while working at a computer terminal. May also require lifting, stooping, reaching and bending to retrieve files and supplies. Requires corrected vision and hearing to normal range.
Essential Functions

Coordinates outpatient coding for Medicare, Blue Cross, Medical Assistance, HMO's, and Commercial Insurance accounts
Reviews registration information for accuracy, verifying each new patients insurance benefits
Complete the \"Benefit Explanation Sheet\" to go over with patient
Set up and review each patients insurance in TheraOffice
Once therapist locks information and sends to TheraOffice, create electronic and paper claims to send bills out
Upload created claims to Office Ally (Clearinghouse), entering sent claims to Batch Spreadsheet, updating as needed
Review Office Ally daily for accepted and rejected claims
Ensure required signatures are obtained before processing
Review patient bills for reasonableness prior to billing
Ensure payments are received at each appointment to avoid large balances at the end of therapy plan
Review cancellations for any missed appointment fees and bill patients accordingly
Run reports through TheraOffice to review insurance billing balances
Provide weekly reviews of billing to management
Initiate and complete appropriate process for each credentialed employee
Interfaces with others for a mutual understanding and coordination of billing efforts
Perform other duties as required
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
About Us

At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are committed to improving both the quality and availability of healthcare in our region and seek to hire only the best to support the communities we serve.
Job Info

Job Identification 2852
Job Category Rehabilitation Services
Posting Date 03/25/2026, 06:26 PM
Job Schedule Full time
Job Shift Day/Evening
Locations 164 Greenview Drive, State College, PA, 16803, US (On-site)

","Primary Billing/Collections Specialist

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Newsday Media Group is a locally owned, independent media company grounded in journalistic excellence, integrity, and commitment to the communities it serves. With 19 Pulitzer Prizes and dozens of Emmy Awards, it's one of the most decorated news organizations in the country.

The company is in the middle of a significant transformation, expanding from its newspaper roots into a multimedia operation spanning digital, video, podcasts, live events, and data-driven civic engagement. NMG properties include the flagship Newsday and Newsday.com, NewsdayTV, the Newsday Live events series, and nextLI, a civic research and community forum platform funded by The Rauch Foundation.

A new 130,000-square-foot headquarters in Melville features a broadcast-quality TV studio and multimedia production space. Newsday Live produces a growing calendar of food and wine tastings, author talks, sports Q&As, concerts, and community events. Feed Me, the company's food and dining vertical, includes a web series, quarterly print magazine, and restaurant coverage. Brand 360, the in-house content studio, partners with advertisers across healthcare, education, energy, tourism, and retail.

Newsday's investigative unit has driven real-world change, from prompting schools to replace unsafe football helmets to contributing reporting that led to federal corruption convictions. Community programs include the Newsday Marching Band Festival, CheerFest, Scholar-Artist honors, and partnerships with local nonprofits focused on hunger, housing, youth education, and child welfare.

For people who care about local journalism, multimedia storytelling, and community impact, Newsday is doing the work at scale.

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