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Recruit CRM

Insurance Reviewer II

Recruit CRM

. Complete assigned tasks to secure payment from third-party payors and report observed trends and issues to management .

Posted 11/12/2026full-timeSpringfield • 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 reviews, and compliance with HIPAA and OSHA regulations. Proficient in utilizing medical terminology and coding systems such as CPT and ICD-9 to ensure billing accuracy and efficiency.

Highest-signal resume keywords
Medical Billing ExperienceClaims ProcessingCPT CodingICD-9 CodingCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims AnalysisInsurance Voucher ProcessingBilling AdjustmentsTyping SkillsCalculator Skills
Soft Skills
Team CollaborationIndividual WorkConfidentiality
Tools & Technologies
Insurance Work FilesRegistration Systems
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Medical TerminologyOSHA ComplianceHIPAA ComplianceInsurance AuditsPatient Invoicing

About the role

Key responsibilities & impact
  • Complete assigned tasks to secure payment from third-party payors and report observed trends and issues to management
  • Handle phone calls and messages for the designated insurance area
  • Update registration screens when requested or necessary
  • 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
  • Correct patient invoices through corrections and adjustments
  • Conduct insurance reviews to obtain additional claim payments
  • Process front-end and back-end system edits for physician productivity, registration, and billing accuracy
  • 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
  • Perform other assigned duties
  • Provide excellent customer service and follow the SC Way customer service philosophy
  • Report to the Insurance Review Supervisor

Requirements

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

Benefits

Comp & perks
  • No weekends
  • Comprehensive benefits information provided at https://www.springfieldclinic.com/benefits