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Springfield Clinic · 3 weeks ago

Insurance Reviewer II

Springfield, IL

Full-time

Onsite

Mid Level

Springfield Clinic is seeking an Insurance Reviewer II to handle tasks related to securing payment from third-party payors and reporting trends to management. The role involves processing insurance vouchers, handling billing inquiries, and ensuring compliance with relevant policies and procedures.

Health Care

H1B Sponsor Likely

Responsibilities

Handle all phone calls and messages received specific to designated insurance area

Update registration screens when requested by patients or as necessary

Review and process all designated insurance vouchers received, rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary

Process all secondary billing as requested by patients or defined by procedure

Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests

Process corrections/adjustments as necessary to correct the patient's invoice

Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary

Analyze and process front-end system edits for correct physician productivity and billing of claims

Analyze and process back-end system edits for correct registration and billing of claims

Analyze and process claims denied through clearinghouse

Investigate and process claims in the insurance work files and/or on the insurance reports

Must report all incidents to immediate Supervisor or Manager

Assist with special projects and assignments as directed

Must attend in-services and training relevant to position

Perform Other Job Duties As Assigned

Confidentiality required

Comply with the Springfield Clinic incident reporting policy and procedures

Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy

Provide excellent customer service and adhere to SC Way customer service philosophy

Qualification

Medical Billing ExperienceCPTICD-9 CodingMedical TerminologyComputer SkillsCustomer ServiceTeamwork

Required

High School graduate or GED required

Previous Experience In a Medical Billing Office Required

Computer, Typing And Calculator Skills Required

Must be able to work individually or on a team

Preferred

Working knowledge of medical terminology preferred

Working knowledge of CPT and ICD-9 coding preferred

Company

Springfield Clinic

Springfield Clinic is an Health Care, Doctor, and Physician providing clinic.

Founded in 1939

Springfield, Illinois, USA

1001-5000 employees

http://www.SpringfieldClinic.com

H1B Sponsorship

Springfield Clinic has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (8)

2024 (4)

2023 (1)

2022 (9)

2021 (8)

2020 (15)