Location US-IL-Champaign

ID 2025-10105

Position Type

Full-Time

Remote

No

Shift

Day

Schedule

Monday-Friday

The NSA Coordinator is responsible for coordinating and performing all billing activities in compliance with the No Surprise Billing Act (NSBA). This role involves utilizing Epic tools to manage hospital and professional billing of non-contracted plans, ensuring proper communication and processing of payments post service. This position will be responsible for verifying insurance coverage, identifying potential surprise billing situations, and facilitating communication between providers and insurance companies to resolve billing disputes in accordance with federal regulations; key duties include accurate claim submission, payment posting, review for open negotiations, and navigating the independent dispute resolution (IDR) process when necessary.

• Accountable to work and manages designated Epic WQ’s and reports to identify and verify non-contracted coverage assignments
• Negotiates by providing supporting documentation for out-of-network single case agreements and open negotiations
• Reviews and evaluates proposed agreements and contracts to ensure they align with Carle Health's needs and interests.
• Creates and maintains records of negotiations and agreements for future reference.
• Confirms patient insurance eligibility and in-network status before services are rendered (if applicable).
• Ensures accurate billing codes are used to prevent unnecessary billing issues and potential surprise bills.
• Initiates and manages the IDR process when a billing disagreement occurs between the provider and insurance company.
• Strong communication skills: Effective communication with patients, insurance companies, and internal departments to resolve billing issue
• Stays updated on NSA regulations and ensuring the healthcare facility adheres to all compliance requirements.
• Stays updated on healthcare billing regulations and ensures adherence to HIPAA privacy standards
• Tracks and analyzes billing data to identify trends and potential areas for improvement related to surprise billing.

Education:

Associate's Degree or Experience In Lieu of Education

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

The compensation range for this position is $21.67per hour - $36.19per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.



Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

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