BILLING & DENIALS SPECIALIST I - CENTRAL BILLING OFFICE
About The Position
Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a Billing & Denials Specialist to join our team! The Billing and Denial Specialist I is responsible for following up claims with no response from payers, working and managing insurance denials, managing, writing, and carrying out the appeal process for all payers. Is responsible for the submission of clean claims to all third-party payers for all hospital and professional services. HOURS: Full Time or 1.0 FTE, 80 hours every pay period. Monday - Friday 8am - 4:30pm. After an onsite training period, this position will be remote.
Requirements
- Associate degree in business, accounting, healthcare, or a related field or equivalent work experience preferred.
- High school diploma, or GED required.
- Two to three years of related work experience in a healthcare billing department is strongly desired.
- Two to three years' related work experience with an electronic health record strongly desired. Epic preferred.
- Understands and applies insurance billing, governmental regulations, and managed care requirements, as applicable, to the billing process.
- Understands state and federally mandated coverages, health insurance terms, definitions, and concepts, as well as auto and other liability terms, definitions, and concepts.
- Understands state law governing privacy, utilizing compliance protocol and refers to policy and procedure manual when dealing with specific issues.
- Basic CPT and ICD10- coding knowledge desired.
- Demonstrates professionalism with good verbal and written communication skills.
- Ability to prioritize and work independently.
- Attention to detail, accuracy, and timeliness in all work products.
Nice To Haves
- Associate degree in business, accounting, healthcare, or a related field or equivalent work experience
- Two to three years of related work experience in a healthcare billing department
- Two to three years' related work experience with an electronic health record. Epic preferred.
- Basic CPT and ICD10- coding knowledge
Responsibilities
- following up claims with no response from payers
- working and managing insurance denials
- managing, writing, and carrying out the appeal process for all payers
- submission of clean claims to all third-party payers for all hospital and professional services
Benefits
- Full benefits packages available for part- and full-time status.
- PTO accrual from day one!
- Generous retirement plan with match available.
- Wellness program for employees and their families.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
