Join a dedicated healthcare team in the heart of the Midwest region, where your role as a Billing Specialist I will be vital in supporting patient care through accurate and timely claims processing. This full-time position involves managing insurance claims, posting payments, and addressing patient inquiries with professionalism and care.

General Summary

As a Billing Specialist I, you will be responsible for entering and verifying insurance claim information, submitting claims electronically or via paper forms, and responding to patient questions regarding their financial responsibilities. You will work closely with insurance companies to follow up on unpaid or rejected claims, prepare appeal letters when necessary, and ensure compliance with HIPAA guidelines.

Essential Duties and Responsibilities

• Enter patient and insurance information accurately for claims processing.
• Submit insurance claims to clearinghouses or insurance companies using electronic or paper methods.
• Respond to patient inquiries about copays, deductibles, write-offs, and account balances.
• Follow up with insurers on unpaid or denied claims and resubmit as needed.
• Prepare appeal letters with supporting documentation for claim denials.
• Perform soft collections by contacting patients regarding past due accounts.
• Verify patient benefits eligibility and understand managed care authorizations and coverage limits.
• Submit secondary claims after primary insurer processing.

Education

High School Diploma or GED required.

Experience

Previous medical billing experience is highly preferred. Familiarity with billing software and electronic data submission is advantageous.

Requirements

Ability to communicate detailed information clearly, maintain concentration during repetitive tasks, and perform physical activities such as standing, walking, sitting, and occasionally lifting items up to 10 pounds. Comfortable working in a standard office environment with occasional exposure to noise and other conditions.