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Medical Coding Billing Jobs in Springfield, IL (NOW HIRING)

Memorial Health

Insurance Pre-Auth Spec I

Lincoln, IL · On-site

$16.50 - $24.82/hr

Demonstrated working knowledge of medical terminology, procedural and diagnosis coding, and hospital billing workflows and processes required. * Awareness and understanding of healthcare industry ...

New

Memorial Health

Denial Appeals Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred. Responsibilities Principal Duties ...

Memorial Health

Insurance Pre-Auth Spec I

Lincoln, IL

$16.50 - $24.82/hr

Demonstrated working knowledge of medical terminology, procedural and diagnosis coding, and hospital billing workflows and processes required. * Awareness and understanding of healthcare industry ...

New

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.

Memorial Health

Denial Appeals Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred. Responsibilities Principal Duties ...

Memorial Health

Follow-Up Specialist

Springfield, IL

$18.34 - $28.42/hr

Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.

Memorial Health

Follow-Up Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Demonstrates thorough knowledge of the electronic billing system, medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, DRGs and hospital billing claim form UB-04 is required.

SIU Medicine

Audiologist

Springfield, IL · On-site

Medicare/Medicaid) 4. Infection Control 5. Coding, billing, and reimbursement procedures 6. ... Coordinates audiometric results with other diagnostic data, such as educational, medical, social ...

Memorial Health

Call Center

Springfield, IL

$17.14 - $26.56/hr

Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 & 10) coding and hospital billing claims form UB-04 highly preferred. * Ability to multi-task while working on ...

Prime Staffing

Travel Med Surg RN

Springfield, IL · On-site

$1.9K - $2.6K/wk

ASAPShift: 12N EOW (36 or 48hrs/wk)Bill Rate: $85RTO at time of submissionIL license in hand1 year ... Job Code: 2410Job Req & PID: R1037330 - P70020321 RatePlan:2025 Restated - Travel and Local Regular ...

Prime Staffing

Travel Med Surg RN

Springfield, IL · On-site

$1.9K - $2.6K/wk

ASAPShift: 12D EOW (36 or 48hrs/wk)Bill Rate: $85RTO at time of submissionIL license in hand1 year ... Job Code: 2410Job Req & PID: R1036725 - P70014622 RatePlan:2025 Restated - Travel and Local Regular ...

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All JobsMedical Coding Billing JobsMedical Coding Billing Jobs in Springfield, IL

Medical Coding Billing information

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How much do medical coding billing jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical coding billing in Springfield, IL is $21.76, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.88 per hour, depending on experience, location, and employer.

Is a career in medical coding billing worth it?

A career in medical coding and billing offers stable employment opportunities, as it is essential for healthcare administration and reimbursement processes. It typically requires certification, attention to detail, and proficiency with coding systems like ICD-10 and CPT. The field can provide flexible schedules and remote work options, making it a viable choice for many job seekers.

What does a medical coding billing do?

Medical coding and billing professionals typically review patient records, assign appropriate medical codes based on documentation, and prepare claims for submission to insurance companies. Daily tasks often include following up on unpaid claims, correcting coding errors, communicating with healthcare providers for clarification, and updating patient accounts. You may also be responsible for verifying insurance benefits and addressing patient inquiries about billing statements. These responsibilities require both technical coding expertise and strong interpersonal skills for effective collaboration. Working in this role offers valuable experience in healthcare administration and can lead to further career advancement within medical billing, auditing, or healthcare management.

What are the key skills and qualifications needed to thrive in medical coding billing?

To excel in Medical Coding Billing, you need a strong understanding of medical terminology, anatomy, health insurance processes, and coding systems such as ICD-10, CPT, and HCPCS, often supported by formal training or relevant certification (e.g., CPC, CCS). Familiarity with electronic health record (EHR) systems and medical billing software is essential for processing and submitting claims accurately. Attention to detail, organizational skills, and effective communication are important soft skills that help you navigate complex billing scenarios and interact with patients, providers, and payers. Mastery of these skills ensures accurate reimbursement, reduces claim denials, and facilitates efficient healthcare operations.

Is it hard to get a job in medical coding and billing?

Medical coding and billing jobs generally require certification and knowledge of coding systems like ICD-10 and CPT. While some entry-level positions are available, competition can vary based on location and experience, and having relevant skills or certifications can improve job prospects.

Are medical coders still in demand?

Medical coders are currently in demand due to ongoing healthcare industry needs for accurate billing and coding. The role requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and often certification, which helps maintain employment opportunities in hospitals, clinics, and insurance companies.

What is a medical coding billing?

A Medical Coding and Billing job involves translating healthcare services, procedures, diagnoses, and treatments into standardized codes for billing and insurance purposes. Medical coders use classification systems like ICD-10, CPT, and HCPCS to ensure accuracy in medical records and claims. Medical billers submit claims to insurance companies and manage reimbursements to healthcare providers. This role is essential for healthcare revenue cycle management and requires attention to detail, knowledge of medical terminology, and compliance with industry regulations.

What are the most commonly searched types of Medical Coding Billing jobs in Springfield, IL? The most popular types of Medical Coding Billing jobs in Springfield, IL are:
What are popular job titles related to Medical Coding Billing jobs in Springfield, IL? For Medical Coding Billing jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Medical Coding Billing jobs in Springfield, IL look for? The top searched job categories for Medical Coding Billing jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Medical Coding Billing jobs? Cities near Springfield, IL with the most Medical Coding Billing job openings:
Medical Coding Billing jobs near you
Infographic showing various Medical Coding Billing job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $45,266 per year, or $21.8 per hour.

Insurance Pre-Auth Spec I

Memorial Health

Lincoln, IL • On-site

$16.50 - $24.82/hr

Full-time

Posted 2 days ago

New

Memorial Health rating

6.9

Company rating: 6.9 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers

Job description

Min
USD $16.50/Hr.
Max
USD $24.82/Hr.
Overview
The Insurance Pre-Authorization Specialist I is responsible for completing prior authorizations, pre-certifications, and notifications for third-party and government payers for pre-scheduled elective inpatient admissions, direct admissions, emergency room admissions, and outpatient procedures. This role requires a thorough understanding of insurance plans and benefit structures to obtain detailed benefit information and maximize plan utilization.
The specialist coordinates with third-party payers, physicians, nursing staff, and other healthcare providers to ensure all prior authorization and pre-certification requirements are met in accordance with payer guidelines. This includes providing education and guidance to clinical and administrative staff regarding authorization processes and payer-specific requirements to support accurate and timely reimbursement.
This position is responsible for tracking, documenting, and monitoring authorization and pre-certification status throughout the continuum of care. The specialist also performs dynamic coding for outpatient services and urgent admissions by reviewing physician orders and accurately correlating and documenting applicable procedure and diagnosis codes.
In addition, the specialist communicates delays, denials, and other issues related to authorization determinations to clinical staff across service lines, as well as to Managed Care, Utilization Management, and Patient Financial Services teams. When appropriate, the specialist may provide patients with guidance regarding the appeal process for denied authorizations.
A strong understanding of insurance and payer policy language is essential, including knowledge of benefit coverage and authorization requirements at admission, throughout the hospital stay, and at discharge. The specialist also supports concurrent review processes for patients actively receiving care.
Qualifications
Education
  • High school diploma or equivalent required.
Experience
  • Minimum of three (3) years of healthcare registration, billing/claims, scheduling, or physician office experience required.
  • Experience with or working knowledge of call center processes preferred.
Knowledge, Skills, and Abilities
Healthcare & Billing Knowledge
  • Demonstrated working knowledge of medical terminology, procedural and diagnosis coding, and hospital billing workflows and processes required.
  • Awareness and understanding of healthcare industry trends and developments, including Health Care Reform, required.
Technical Skills
  • Proficiency with Microsoft Office Suite (Outlook, Excel, Word) required.
  • Ability to navigate multiple systems and applications, including:
    • Online learning platforms for job competencies
    • Electronic registration and billing systems
    • Online forms, policies, and benefits enrollment tools
Communication & Interpersonal Skills
  • Ability to communicate clearly and effectively, both verbally and in writing, with:
    • Patients and families
    • Physicians and clinical staff
    • Payers and insurance representatives
    • Internal departments and leadership
  • Ability to educate, persuade, and negotiate with patients/families to ensure compliance with payer requirements and collections goals.
Critical Thinking & Problem Solving
  • Ability to analyze information, problems, and workflows to identify:
    • Patterns and trends
    • Cause-and-effect relationships
    • Logical conclusions and alternatives
  • Ability to develop practical, comprehensive solutions.
Work Performance & Adaptability
  • Ability to remain flexible and exercise sound judgment in high-stress situations.
  • Capable of managing competing priorities and working independently with minimal supervision.
  • Demonstrated initiative and reliability in completing assignments.
  • Ability to adapt to changing operational needs, including staffing shortages, cross-training requirements, and departmental coverage needs.
  • Willingness to provide coverage and complete assignments prior to end of shift when necessary.
Productivity Expectations
  • Ability to process an average of 40-45 scheduled patient accounts/visits per day.

Responsibilities
Insurance Verification, Authorization & Eligibility
  • Identifies, reviews, and processes pre-authorizations, pre-certifications, and notifications for Medicare, Medicaid, commercial, and managed care payers for inpatient, outpatient, emergency, and elective services.
  • Ensures patient eligibility requirements are met prior to service delivery.
  • Utilizes payer portals, internal systems, and direct communication with physician offices and third-party payers to obtain authorization and benefit information.
  • Analyzes patient eligibility, benefits, and reason-for-visit criteria to confirm documentation completeness and payer compliance prior to admission.
  • Coordinates primary, secondary, and tertiary coverage to ensure correct coordination of benefits and reduce duplicate payments or claim errors.
Medical Coding & Clinical Documentation Support
  • Interprets patient requisitions and assigns accurate ICD-10-CM and CPT codes in alignment with coding guidelines.
  • Ensures correct diagnosis and procedure code sequencing based on patient signs, symptoms, and clinical documentation.
  • Collaborates with HIM coding staff, physicians, and clinical teams to validate coding accuracy and resolve discrepancies.
  • Maintains compliance with outpatient coding standards, reimbursement rules, and regulatory requirements.
Compliance, Regulatory, and Payer Knowledge
  • Maintains up-to-date knowledge of CMS, JCAHO, FI, Medicare, Medicaid, and commercial payer requirements.
  • Participates in continuing education and compliance training related to medical terminology, anatomy, physiology, disease processes, and surgical procedures.
  • Maintains and updates payer reference materials, including authorization requirements and coverage changes.
  • Ensures compliance with HIPAA, Illinois Fair Patient Billing Act, Illinois Uninsured Patient Discount Act, and hospital policies.
Revenue Cycle & Financial Clearance
  • Verifies insurance benefits and communicates coverage, authorization requirements, and self-pay responsibilities to patients and families.
  • Identifies and resolves issues that may lead to claim denials, retrospective medical necessity reviews, or benefit reductions.
  • Contacts payers and patients to facilitate timely reimbursement and resolve billing issues.
  • Supports point-of-service collections by collecting co-pays, deposits, and patient financial responsibility using electronic payment systems.
  • Reviews rejected or unresolved accounts and works toward resolution through eligibility verification or financial assistance determination.
Systems, Documentation & Workflow Management
  • Maintains accurate documentation of authorization status, benefit verification, and payer communications in hospital billing systems (e.g., Cerner).
  • Independently tracks authorization requests and outcomes through completion.
  • Utilizes payer websites and internal tools to ensure accurate and timely submission of authorization requests.
  • Ensures all pre-certification documentation is completed prior to patient arrival to minimize delays and financial risk.
Interdepartmental Coordination & Communication
  • Coordinates with Patient Financial Services, Managed Care, Case Management, Scheduling, Clinical departments, and Social Services to ensure consistent documentation and workflow alignment.
  • Provides administrative and operational support to clinical and medical management teams, including concurrent review functions.
  • Communicates authorization issues or payer delays to appropriate stakeholders to ensure timely resolution.
Patient Financial Assistance & Education
  • Educates patients on insurance coverage, advance directives, Medicare Part D, and grievance processes.
  • Refers patients to Medicaid vendors or financial assistance programs when appropriate.
  • Applies knowledge of regulatory billing protections and uninsured patient discount programs.
Performance, Productivity & Operational Standards
  • Meets productivity standards (approximately 40-45 encounters processed daily).
  • Maintains accuracy, efficiency, quality, patient satisfaction, and attendance benchmarks.
  • Meets or exceeds point-of-service collection goals and revenue cycle performance metrics.
  • Participates in cross-training, mentoring, and onboarding of new staff.
  • Supports leadership with special projects, workflow improvements, and departmental initiatives.
  • Demonstrates flexibility to work additional hours, nights, weekends, or shift coverage as needed.
Professionalism & Compliance
  • Maintains superior patient relations using tact, professionalism, and sound judgment.
  • Adheres to all HIPAA, Joint Commission, CDC, and organizational compliance standards.
  • Completes required certifications and ongoing revenue cycle education.
  • Participates in mandatory meetings and contributes to continuous improvement initiatives.

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