Billing Specialist

mhsil· Clerical, Administrative and Business Support
Apply Now ↗
📍 Springfield, IL, USFULL TIME

About this role

Min

USD $18.34/Hr.

Max

USD $28.42/Hr.

Overview

Position Summary:

Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

Qualifications

Education:

Education equivalent to graduation from high school or GED is required.

 

Experience:

Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.

 

Other Knowledge/Skills/Abilities:

  • Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required.
  • Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process.
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
  • Demonstrates ability to work successfully with internal customers and external contacts is required.
  • Possesses a highly-developed detail orientation, critical thinking, and problem solving ability.
  • Demonstrates excellent oral and written communication, keyboarding, and basic math skills.
  • Demonstrates ability to work unsupervised as well as the ability to work in a group setting.

Responsibilities

Principal Duties & Responsibilities:

  • Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.

    •  

  • Investigates assigned billing claims with incomplete/incorrect information and resolves the more complex problems or errors to ensure complete and compliant information accompanies the claim.

    •  

  • Prioritizes claims based on specified criteria and files the claim, either electronically or via paper claim. Ensures careful adherence to insurance guidelines, timeliness, accuracy, and processing procedures.

    •  

  • Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.

    •  

  • Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
    • SAFETY: Prevent Harm - I put safety first in everything I do.  I take action to ensure the safety of others.
    • COURTESY: Serve Others - I treat others with dignity and respect.  I project a professional image and positive attitude.
    • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
    • EFFICIENCY: Reduce Waste - I use time and resources wisely.  I prevent defects and delays.

     

  • Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.

    •  

  • Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.

    •  

  • Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.

    •  

  • Communicates and resolves issues with a variety of internal and external sources regarding medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.

    •  

  • Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.

    •  

  • Identifies and researches the appropriateness of late charges and, as necessary, adjusts the charge / patient account based on research findings

    •  

     

  • Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.

    •  

  • Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.

    •  

  • Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.

    •  

  • May assist with special projects, analyses, or audits.

    •  

  • As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.

    •  

  • Performs other related work as required or requested.

    • Frequently Asked Questions

    Is the salary disclosed for the Billing Specialist position at mhsil?
    The salary for this Billing Specialist role at mhsil is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
    Where is the Billing Specialist position at mhsil located?
    This Billing Specialist role at mhsil is based in Springfield, IL, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
    Is the Billing Specialist role at mhsil full-time or part-time?
    This is listed as a FULL TIME position. It is posted as a Billing Specialist role in the Clerical, Administrative and Business Support department at mhsil.
    Which team or department does the Billing Specialist at mhsil belong to?
    This Billing Specialist position is part of the Clerical, Administrative and Business Support department at mhsil. See the full job description for more information about the team structure and responsibilities.
    How do I apply for the Billing Specialist position at mhsil?
    Click the "Apply Now" button on this page. You will be redirected to mhsil's official application portal hosted on icims where you can submit your application directly.
    When was the Billing Specialist job at mhsil posted?
    This Billing Specialist position at mhsil was posted on Jul 14, 2026. Apply as soon as possible — early applications are often reviewed first.
    Billing Specialist
    mhsil
    Apply for this role ↗

    You'll be redirected to mhsil's official application page on icims.