Role Description The Medical Biller is responsible for timely and accurate billing of medical claims in multiple states. The Medical Biller will report to the Billing Manager and will work closely with the rest of the billing and coding team. The Medical Biller has daily and monthly responsibilities in billing, reimbursement, and insurance follow-up. - Detail-oriented, organized, proactive, resourceful, and possess great interpersonal skills with a professional disposition. - Demonstrates the IP Mission, Vision and Care Commitments in behaviors, practice, and decisions. - Supports a culture that fosters teamwork, inclusion, and collaboration. - Ensure billing and insurance follow-up are achieved within the performance standards. - Monitor accounts daily to maximize reimbursement opportunities. - Identify potential billing compliance issues. - Posting payments and remittances on a daily basis. - Claim management – Denials, rejections, follow-up, etc. - Develop and maintain a communication network with payers. - Utilize and successfully navigate all required EHR and billing systems. - Meet individual and team goals as assigned by Management. - Responsible for accurate recording of payment from payers and reconciling any identified differences. - Identifies discrepancies and billing issues. - Assist on other projects and complete other duties as assigned. Qualifications - Minimum 1-2 years experience in healthcare billing or systems. - Associates degree in healthcare administration, or a related field, or a combination of education and experience. - Minimum 1 year experience working with government payers to resolve reimbursement issues is preferred. - Knowledge of reimbursement and billing requirements and regulations. - Knowledge of CMS, HIPAA and other governmental regulations, rules and policies as it pertains to billing and collections. - Proficient with various computerized applications and billing software (SAMMS, KIPU and/or RPMS preferred). - Demonstrate values such as fostering collaboration and providing a positive, motivating environment. - Must possess excellent customer relations and communication skills. - Professionalism, confidentiality, and organizational skills. - Ability to work well with limited supervision. - This is a remote position, but must be willing to travel on a limited basis, as needed. Benefits - Unlimited paid time off to cultivate personal and professional balance. - Competitive benefits including 401(k), Medical, Dental, and Vision insurance. - Open, transparent lines of communication with leadership. - Committed to giving back to improve our communities and environmental impact. - A development-focused environment where you have autonomy to drive your career path.

Role Description Carle Health is seeking an additional BE/BC Neuroradiologist to join our expanding Radiology Division at Carle Foundation Hospital in Urbana, Illinois. - 100% Remote - Daytime emergency/general radiology with neuroradiology focus – fellowship training required - $625,000 base salary with lucrative incentive package & signing bonus - Non-profit status with public service loan forgiveness eligibility - 7-on/7-off schedule: 11a-7p CST weekdays, 7a-5p CST weekends - Comprehensive Stroke Center with Level I Trauma Center and active Neurosurgical, Neurology and Otolaryngology referral bases - Affiliation with the new Carle Illinois College of Medicine with teaching and research opportunities available - State of the art equipment including a new Visage PACS, PowerScribe One Dictation, RadAI Impression Generator, Robust AI Infrastructure, EPIC EMR Qualifications - BE/BC Neuroradiologist - Fellowship training required Requirements - Experience in emergency/general radiology with a neuroradiology focus Benefits - Excellent benefit package including health/dental/life insurance - 403-B and 457 plans with employer match - LTD - Relocation signing bonus - CME allowance - Malpractice insurance with tail insurance coverage Company Description Globally connected, innovative and culturally rich, Champaign-Urbana is centrally located to Chicago, Indianapolis and St. Louis and is home to one of the world's great public research universities - the Big Ten University of Illinois. With ease of transportation, excellent schools and affordable housing options, our community features the friendliness and advantages of a smaller town while offering the dining, arts, sports, and entertainment options found in a much larger city. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. - Nearly 17,000 team members and providers supporting patient care across central and southeastern Illinois - Eight award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers - Developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine - Magnet® designations for nursing care at several hospitals - Opportunities in several communities throughout central Illinois with potential for growth and life-long careers

• Preparation of billing data to be used in the billing of payers • Responsible for complying with contractual provisions regarding billing and encounter data • Submit invoices to agencies • Apply payments and collect on unpaid claims • Prepare advance reconciliations and apply payments to the general ledger • Enter information into computer databases for effective record keeping • Collaborate with other staff members to optimize delivery of services • Ensure all compliance standards are met for audit purposes • Maintain confidentiality of records relating to clients • Identify opportunities to improve processes

Role Description As a Medical Policy & Coding Support Coordinator, you will play a key role in supporting medical policy functions by providing medical coding, system configuration, and administrative and operational support. Using your medical coding knowledge, you will also perform coding analyses and utilization reporting to recommend necessary updates to medical policies and system configuration. You will participate in cross-functional meetings to align with enterprise strategic priorities and contribute to the overall success of the Medical Policy Team's operations. Qualifications - Associate's or bachelor's degree in a relevant field (e.g., health administration, business administration, or a related discipline) - Preferred - Claims experience with knowledge of Facets - Strongly preferred - Familiarity with SAP BusinessObjects - Preferred - Certified Professional Coder (CPC) or Certified Professional Coder-Apprentice (CPC-A) - Preferred - Auditing experience, such as data comparison, validating discrepancies and reconciling differences - Preferred - High school diploma or GED - Required - Certified Professional Coder (CPC) required; must attain the certification within 12 months of hire and maintain throughout employment - Required - 4+ years of experience in provider payment, claims or medical coding; demonstrates coding knowledge – e.g. ICD-10, HCPC, CPT - Required - Detail-oriented with the ability to ensure accuracy and consistency in all operations and deliverables - Required - Strong customer service and communication skills to respond to inquiries in a timely and professional manner - Required - Strong organizational and project management skills, with the ability to manage multiple tasks and deadlines effectively - Required - Ability to handle administrative tasks such as filing external appeals and supporting various team functions as assigned - Required - Strong critical thinking and decision-making skills; effectively identifies, researches, tests, and analyzes issues - Required - Strong written and verbal communication skills with the ability to express complex concepts clearly and concisely - Required - Demonstrated ability to obtain relevant information by relating and comparing data from different sources - Required - Ability to adhere to quality and production metrics; demonstrates commitment to accuracy, quality, timeliness, organization, and attention to details - Required - Self-starter with strong workflow management skills; thinks up and down stream to effectively manage deliverables - Required - Proficient with MS Office - Required Requirements - Support Medical Policy Team’s operations, including creating and managing monthly Medical Policy production timelines, quarterly production timeline for N/R/D Code processing, maintaining Medical Policy material distribution lists, and filing external appeals. - Verify that the monthly authorization table updates align with quality expectations and track performance metrics. - Support virtual monthly Medical Policy Committee (MPC) operations, including taking minutes, developing, circulating, and presenting agenda PowerPoint during monthly MPC virtual meetings. - Partner with the coding specialist role in the support of the Medical Policy Implementation Committee (MPIT), including preparing and sending information to MPIT, and generating post-policy discussion documents. - Support Medical Policy leadership in initial research on impact of changes in vendor and BCBSA Reference Medical Policy changes and opportunities for new policy development. - Monitor and triage Medical Policy inbox for external inquiries and creating of SharePoint forms for internal inquiries. - Perform monthly medical policy coding analyses and SAP BusinessObjects reports to identify and recommend necessary changes based on comparison to BCBSA reference medical policies, sentinel commercial health plan benchmarks and utilization patterns and implementation of claim system edits to support its intent. - Ensure that all documentation related to health policy decisions, changes, implementations, and communications are complete, accurate, and timely. - Update system configurations to ensure accurate administration of health policies including changes related to coding file updates, health policy revisions, FEP, regulatory requirements or other internal processes as needed. - Participate in cross-functional meetings or initiatives to support the enterprise strategic priorities. - Other duties as assigned. Benefits - Flexibility to work where you are most productive; this position is eligible to work fully remote. - Option to come into a Wellmark office if desired. - Occasional in-office meetings for specific meetings or other ‘moments that matter’ as requested by your leader.