Overview

Insurance Billing Specialist, Full-time Insurance Billing Specialist - Onsite Full-Time Onsite in Hopedale, Illinois Please note: This is an onsite position. Candidates must be willing and able to reasonably commute to Hopedale, Illinois. This position is not remote. About Hopedale Medical Complex For more than 70 years, Hopedale Medical Complex has provided exceptional, patient-centered healthcare close to home. We are an independent, nonprofit Critical Access Hospital rooted in a small-town community-but the scope of care we provide is anything but small. What makes HMC special is the relationship between our patients, physicians, and care teams. Many of our physicians provide both primary care and general surgical services, creating a continuity of care and personal connection that is increasingly rare in healthcare. Our patients are our neighbors, friends, and families, and many have trusted HMC with their care for generations. From our 25-bed hospital, 24-hour Emergency Department, ICU, and four operating rooms to primary and specialty care, advanced surgical services, diagnostic imaging, rehabilitation, long-term care, senior living, and wellness services, HMC provides the capabilities of a larger health system with the personal connection of community healthcare. At HMC, healthcare is personal-and every member of our team plays a part in keeping exceptional care close to home. Join the HMC Team! Hopedale Medical Complex is seeking an experienced Insurance Billing Specialist to join our Revenue Cycle/Patient Financial Services team. The Insurance Billing Specialist plays an important role in ensuring accurate and timely reimbursement for hospital and hospital-based services. This position is responsible for insurance claim submission, account follow-up, denial resolution, payment review, accounts receivable management, and communication with patients, insurance companies, and internal departments. The ideal candidate is detail-oriented, organized, dependable, and comfortable working independently while managing multiple priorities. Strong problem-solving skills and professional communication are essential to success in this role. HMC OffersExcellent benefits package for eligible employeesHealth, dental, vision, life, and disability insuranceQuality childcare located in HopedaleHMC Wellness Center membership401(k) plan with employer matchSupportive, team-oriented work environment Position Summary The Insurance Billing Specialist is responsible for obtaining accurate and timely reimbursement for hospital and hospital-based services. This position manages the insurance billing process from claim preparation and submission through payment, denial resolution, and account follow-up. The Insurance Billing Specialist must maintain a thorough understanding of third-party reimbursement requirements, payer guidelines, and HMC billing policies and procedures while providing professional and courteous service to patients, insurance representatives, physicians, and hospital staff. Essential Responsibilities Insurance Claim Billing Review patient accounts to verify that services, charges, demographic information, insurance information, and other billing data are accurate and complete.Ensure all required information is documented to support accurate and timely claim submission.Run daily insurance billing reports and identify and correct discrepancies as necessary.Generate and submit Medicare, Medicaid, and commercial insurance claims through electronic and paper-based processes as appropriate.Review claims prior to submission for accuracy, completeness, and missing information.Transmit electronic claims through established billing systems, including TruBridge.Maintain knowledge of payer-specific billing requirements and claim submission guidelines. Insurance Claim Follow-Up & Denials Monitor unpaid claims and perform timely follow-up to facilitate payment.Review insurance denials and determine appropriate steps to resolve billing discre