• Processes and analyze claim rejection reports from the NextGen, Viatrack or Value Options systems and act upon the findings in a timely manner.
• Analyze the explanation of benefit advises from the various payers to ensure the accuracy of the data entered into NextGen for Medicaid, Medicare, private insurance and other third party payers.
• Re-bill and adjust patient accounts as necessary using the NextGen system.
• Create patient management reports using the NextGen system.
• Analyze and resolve accounts receivable aging issues.
• Use Microsoft Excel to create spreadsheets to assist in the analysis of patient data.
• Analyze pending insurance account payer accounts in the NextGen system in order to have accurate processing of claims.
• Analyze and correct patient sliding fee adjustments in NextGen as needed.
• Trace the transactions through NextGen from charge entry through claim creation as part of problem resolution.
• Differentiate between clearing house rejections and payer rejections by frequently working within the Viatrack clearing house environment.
• Resolve all billing inquiries from internal and external customers.
• Gives appropriate information referrals and documents as necessary.
• Keeps thorough records of all activity including reporting and tracking of billing adjustments or corrections
• Ensures accurate records are kept for all billing activity to ensure the agency complies with all appropriate regulations as required.
• Provides various patient management reports as needed.

• Monday - Friday (9:00am - 5:00pm)

• Completion of a high school diploma or G.E.D. certificate required (Associate’s Degree or certification in medical technology or accounting is preferred).
• Four years experience in a medical billing or accounting office setting is required.
• Bilingual is preferred.

As a public health department, we believe in the science, data, and power of vaccines, like the influenza and COVID-19 vaccines, to protect against and prevent illness. Therefore, we require all Health Department staff to receive the primary series of the COVID-19 vaccine as well as the annual influenza vaccine unless they have an approved medical or religious exemption.

Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.

The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.