Insurance Reviewer II

Recruit CRM

. Complete assigned tasks to secure payment from third-party payors .

Posted 10/22/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $18 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing processes, including claims processing, insurance voucher management, and compliance with HIPAA and OSHA regulations. Strong ability to analyze billing trends and provide excellent customer service while maintaining confidentiality.

Highest-signal resume keywords

Medical Billing ExperienceCPT Coding KnowledgeICD-9 Coding KnowledgeClaims ProcessingCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical TerminologyInsurance Claims ProcessingInvoice CorrectionsBilling AdjustmentsTyping SkillsCalculator SkillsFront-End System EditsBack-End System EditsInsurance Voucher ProcessingSecondary Billing

Soft Skills

Team CollaborationConfidentialityCommunication SkillsProblem-Solving SkillsAttention to Detail

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HIPAA ComplianceOSHA ComplianceInsurance AuditsThird-Party PayorsMedical Billing Office

About the role

Key responsibilities & impact

Complete assigned tasks to secure payment from third-party payors
Report observed trends and issues to management
Handle phone calls and messages for the designated insurance area
Update registration screens as needed
Review and process insurance vouchers, rebill unpaid charges, and process adjustments
Process secondary billing
Distribute insurance mail and respond to audits, inquiries, and information requests
Process invoice corrections and insurance reviews
Analyze and process front-end and back-end system edits
Analyze and process claims denied through the clearinghouse
Investigate and process claims in insurance work files and reports
Report incidents to the immediate Supervisor or Manager
Assist with special projects and assignments
Provide excellent customer service and comply with Springfield Clinic policies

Requirements

What you’ll need

High School graduate or GED required
Previous experience in a medical billing office required
Working knowledge of medical terminology preferred
Working knowledge of CPT and ICD-9 coding preferred
Computer, typing and calculator skills required
Must be able to work individually or on a team
Confidentiality required
Must attend in-services and training relevant to position
Comply with OSHA and Springfield Clinic training requirements
HIPAA1 privacy level

Benefits

Comp & perks

Comprehensive benefits offered by Springfield Clinic (details provided at https://www.springfieldclinic.com/benefits)