EDUCATION/QUALIFICATIONS

· Required: High School Diploma or equivalent

· Preferred: Associate’s Degree in Business, Accounting, or related field

EXPERIENCE:

· Required: Minimum of 3 years in a business office setting with proven hospital billing knowledge

· Preferred: Prior experience specifically in hospital or medical billing; familiarity with UB-04, 1500 billing, payer guidelines, and MIS systems

SKILLS

· Knowledge of basic office equipment and billing forms (UB04, 1500).

· Ability to work with figures, forms, and financial data accurately.

· Strong organizational skills and attention to detail.

· Effective communication with patients, staff, and external payers.

· Ability to work independently and follow written/oral instructions.

· Professionalism, confidentiality, and customer service focus.

At Fairfield Memorial Hospital, we seek highly skilled, compassionate employees to continue our healing mission: to positively influence the health of those we serve. Our team is committed to providing the best possible patient experience. FMH is also committed to providing our team members with an environment that allows them to do their best work while providing opportunities for ongoing professional development.
 

NATURE OF WORK

Under the general direction of the Director of Business Office, the Team Lead Billing Specialist performs responsible clerical duties to obtain payment for hospital and physician services as quickly and efficiently as possible through accurate and timely billing submissions. This position serves as the first point of contact for billing questions and trains new hires in hospital billing processes.

Key Responsibilities

· Maintain accounts receivable for assigned commercial insurance carriers.

· Process and submit UB04 forms for inpatient/outpatient services and 1500 forms for physician services.

· Prepare and file claims against estates and medical liens for third-party liability cases.

· Review, correct, and resubmit returned claims; bill secondary insurance with EOBs.

· Respond to payer requests, process denial EOBs, and update MIS with corrected information.

· Conduct follow-up activities, including contacting payers, refiling claims, and processing adjustments.

· Calculate contractual write-offs and reclass accounts appropriately.

· Provide itemized bills and explain hospital credit policies to guarantors.

· Document billing activity thoroughly and maintain updated patient/guarantor information.

· Serve as primary trainer for Hospital Billing and Posting positions.

· Assist other departments and managers in the absence of the Business Office Director.

· Stay current with payer regulations and billing guidelines.

BENEFITS

· 403(b) Retirement Plan

· 457 Retirement Plan

· PPO Health Insurance Plan

· HDHP Health Insurance Plan w/ Health Savings Account

· Dental Insurance Plan

· Vision Insurance Plan

· Short and Long Term Disability Insurance

· Basic and Voluntary Life Insurance Plans

· Paid Time Off (Vacation/Sick/Illinois Paid Leave/Holiday)

· Flexible Work Schedules

· Professional Development Opportunities

WHAT FMH HAS TO OFFER When working with FMH, you can expect salary and benefit package competitively placed within the local market, including medical, dental, vision, life, disability, retirement, with company match, referral bonuses and more.

FMH is a drug-free workplace. As a condition of employment, all hires are required to pass a pre-employment drug test.

FMH believes that Our People are our strongest tool for success. We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status or on the basis of disability. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, or gender identity.