We are seeking a dedicated Accounts Billing Specialist to join our team in a regional healthcare setting within the Midwest. This full-time role involves managing the submission and follow-up of insurance claims for hospital and clinic services, ensuring timely and accurate billing processes.

Key Responsibilities

• Prepare and submit clean claims electronically or by paper to various insurance companies.
• Verify all necessary information for insurance claims to ensure accuracy and timeliness.
• Collaborate with providers and departments to confirm correct charges, diagnoses, and procedures are reported.
• Follow up on unpaid claims within standard billing cycles and resolve discrepancies.
• Address patient billing inquiries and complaints with professionalism and care.
• Review insurance payments for accuracy and compliance with contracts or discounts.
• Identify and bill secondary or tertiary insurance carriers as needed.
• Manage all billing correspondence and mail promptly.
• Investigate third-party claims and file hospital liens when necessary.
• Send patient communications to request additional payment information when required.
• Process late charges and refunds within established timeframes.
• Serve as the primary contact for all office billing matters, including insurance and third-party claims.
• Maintain up-to-date knowledge of Medicare, Medicaid, and other third-party payer billing requirements and changes.

Education

A high school diploma or GED equivalent is required.

Experience and Skills

Proficiency with PC and experience in inpatient and outpatient hospital insurance claims filing and reimbursement principles is preferred. Ability to operate standard office equipment is necessary.

Additional Requirements

Completion of a Mandatory Reporter course is required either prior to hire or within six months of employment. Compliance with all federal, state, and professional licensure and regulatory training standards is mandatory.

This position offers a warm, collaborative environment in a healthcare organization serving the Midwest region.