PI/WC Billing Specialist

TVG-Medulla, LLC

  • Oak Brook, IL
  • Permanent
  • Full-time
  • 8 days ago
  • Apply easily
Company DescriptionCOMPANY BACKGROUNDTVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and Finance to three chiropractic brands, operating under the names of Chiro One, MyoCore, and CORE Health Centers. Medulla is comprised of 830+ employees, with corporate headquarters in Oak Brook, IL and 150+ clinic locations in Illinois, Indiana, Wisconsin, Missouri, Kansas, Kentucky, West Virginia, Texas, Oregon, Washington, and Alaska.TVG-Medulla is a rapidly growing organization, realizing 30%+ growth year-over-year, through a combination of both organic and acquisitive growth. As the organization continues to expand and enter new markets, it seeks a strong strategic COO to lead the operations function. Our vision is to inspire and empower people in our communities to heal, live and function better.Job DescriptionGeneral DescriptionSupports the daily operations of the Personal Injury and Workers’ Compensation (PI/WC) team by managing intake, verification and billing-related tasks for PI/WC cases. Ensures accurate documentation, timely communication, and compliance with regulatory standards.Key Responsibilities: * Verify benefits, open claims and attorney representation for new PI/WC cases; authorize treatment for clinical teams.
  • Set up and maintain case records in the electronic health record (EHR) system with accurate and timely data entry.
  • Maintain comprehensive logs and notes for all open cases.
  • Review and prepare patient records and bills to be released via email, fax or mail.
  • Investigate outstanding balances and follow up on the status of cases.
  • Engage professionally with insurance adjusters, attorneys, patients and internal clinical teams via phone and email.
  • Ensure all records and communications adhere to HIPAA and all regulatory and company compliance standards.
  • Alert management to unusual case scenarios, potential compliance concerns or recurring operational issues.
  • Foster a positive and professional work environment through effective teamwork and communication.
QualificationsMinimum Qualifications * 1+ years of experience in insurance, healthcare billing or related field
  • Proficiency in Microsoft Office Suite
  • Strong organizational skills and attention to detail
  • Ability to collaborate effectively across teams
Preferred Qualifications * Previous experience with personal injury and/or workers’ compensation billingCore Competencies * Excellent written and verbal communication skills
  • Strong multi-tasking and time management abilities
  • High level of accountability and follow-through
Additional InformationDisclaimerAll team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.DisclaimerAll team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.

TVG-Medulla, LLC