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Resolution Processing Jobs in Illinois (NOW HIRING)

Scientel Solutions

NOC Technician

Batavia, IL

... process, and ensuring timely resolution to issues. Network Operations Technicians are responsible for monitoring systems to ensure that devices are operating as intended and document findings.

Scientel Solutions

NOC Technician

Aurora, IL

... process, and ensuring timely resolution to issues. Network Operations Technicians are responsible for monitoring systems to ensure that devices are operating as intended and document findings.

Scientel Solutions

NOC Technician

Aurora, IL · On-site

... process, and ensuring timely resolution to issues. Network Operations Technicians are responsible for monitoring systems to ensure that devices are operating as intended and document findings.

McMaster-Carr

Remittance Processing

Chicago, IL · On-site

$106K - $119K/yr

Our ability to do that comes from world-class execution - robust systems, disciplined processes ... Delivering first-touch resolution on the majority of cases while identifying opportunities to move ...

Walgreens

Regional Client Executive - Remote

Deerfield, IL · On-site +1

$136K - $231.30K/yr

Leads the escalation and resolution process for complex client issues, ensuring efficient cross-functional coordination and client satisfaction. * Provide strategic direction and day-to-day ...

NorthShore

Employee Relations Specialist

Skokie, IL · On-site

$32.60 - $48.90/hr

Provides investigatory support to Director in complex employee relations matters and in the employee resolution process * Assists Director and outside legal counsel in preparation for unemployment ...

McMaster-Carr

Remittance Processing

Chicago, IL · On-site

$106K - $119K/yr

Delivering first-touch resolution on the majority of cases while identifying opportunities to move ... process, to evaluate candidacy for employment. To communicate with job applicants, we may collect ...

Synapse Health

Specialist, Qualifications

Skokie, IL · On-site

At Synapse Health, we're streamlining the durable medical equipment (DME) process. We manage intake ... first call resolution, and attendance. * Maintain strict confidentiality of patient health ...

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Resolution Processing information

What is the difference between Resolution Processing vs Claims Processor?

AspectResolution ProcessingClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires insurance or claims processing certifications
Work EnvironmentOffice settings, call centers, or remote work; primarily administrative and customer serviceOffice or remote; handling insurance claims, data entry, and customer communication
Industry UsageInsurance, healthcare, financeInsurance, healthcare, government agencies
Common Search/ComparisonResolution Processing vs Claims Processor

Resolution Processing and Claims Processors both handle insurance-related tasks, often in similar environments. Resolution Processing typically focuses on resolving claims issues, discrepancies, or appeals, while Claims Processors primarily review and process insurance claims from submission to payout. Both roles require similar credentials and are used across insurance and healthcare industries. Understanding their differences helps job seekers identify the right career path within the claims and resolution field.

What are popular job titles related to Resolution Processing jobs in Illinois? For Resolution Processing jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Resolution Processing jobs in Illinois look for? The top searched job categories for Resolution Processing jobs in Illinois are:
What cities in Illinois are hiring for Resolution Processing jobs? Cities in Illinois with the most Resolution Processing job openings:
Resolution Processing jobs near you
Medicare Biller and Analyst - Patient Financial Services - FT Days (60903)

Medicare Biller and Analyst - Patient Financial Services - FT Days (60903)

Anderson Hospital

Maryville, IL • On-site

$16.25 - $25/hr

Full-time

Posted 18 days ago

Anderson Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

346th of 992 rated hospitals

Job description

Job Summary: Bills Medicare claims for Anderson Hospital and Maryville Imaging. Reviews and analyzes unpaid claims, determining action steps for follow-up and claim resolution. Processes payor denials and resubmits corrections to resolve denial. Processes and resolves credit balances. Processes claim edits, as well as late and lost charges. Processes Medicare Return-To-Provider requests.
Job Responsibilities:
  • Bills all Medicare claims regardless of patient status or bill type.
  • Bills claims accurately and in compliance with Medicare and other payor regulations and guidelines.
  • Reviews and analyzes all Medicare RTP's (Returned to Providers), as well as other claim statuses in the XDirect software, taking the appropriate action to complete and expedite claim payment.
  • Reviews and analyzes unpaid aging Medicare claims utilizing Meditech automated reminders. Determines current account status, and determines necessary action steps to expedite claim payment by Medicare. Utilizes Explanations of Medicare benefits in the analysis of account status. Escalates problem accounts to team leadership.
  • Reviews and analyzes applicable Medicare denials in the Denials Manager software application, determining necessary action to correct and resubmit claim or other necessary claim resolution.
  • Reviews and analyzes all Medicare credit balances and takes necessary action to accurately and compliantly resolve the credit balance.
  • Reviews and analyzes all Medicare and other assigned claim group late and lost charges and determine necessary action to bill or adjust charges in compliance with hospital policy.
  • Participates in department education regarding Medicare and changes and standards, and maintains a current knowledge of Medicare billing requirements.
  • Identifies and recommends opportunities for process improvement in Patient Financial Services, or other Revenue Cycle departments, as related to the PFS processes.

Education Requirements and Other Requirements:
Education Level:
High school diploma or equivalent.
Certification/Licensure: N/A
Experience Requirements:
  • Previous experience in Medicare billing preferred.
  • Previous experience in Medicare follow-up and/or denials processing preferred.
  • Previous experience in hospital patient accounts experience preferred.
  • Office procedures and keyboarding minimum 50 wpm preferred.
  • Microsoft Word and Excel experience preferred.
  • Other computer and organizational skills preferred.
  • Meditech experience helpful.

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