Insurance Billing Specialist

St Croix Health • St. Croix Falls, WI

43d • Hybrid

About The Position

St. Croix Health is looking for a full-time (1.0 FTE) Insurance Billing Specialist to join our team. This position will work Monday through Friday, day hours. This position will work 100% onsite at our St. Croix Falls, WI location during the training period (approximately first 1 - 3 months of employment). Once training is complete, possibility to move to hybrid. Hybrid employees are required to live within a commutable distance from our primary location in St. Croix Falls as on-site workdays, meetings and trainings are required. The Insurance Billing Specialist is responsible for billing medical claims to insurance and ensuring maximum payment and reimbursement of claims. This position resolves clinic and hospital related claim holds, denials and incorrect billing information. They monitor claim status, filing limits, and policies for Medicare, Medicaid and Commercial plan billing practices. This Insurance Billing Specialist is responsible for all billing for St. Croix Regional Medical Center claims to include Rural Health and Critical Access.

Requirements

• High school graduate required
• Associates degree in Medical Administration or related field preferred
• If no degree, healthcare experience required.
• 1-2 years of billing or charge entry experience in healthcare is preferred
• Experience with electronic medical records and billing systems
• Experience in a healthcare business office
• Basic computer skills, including but not limited to Microsoft Office products
• Ability to assess and prioritize workload
• Excellent interpersonal, verbal, and written communication skills
• Adaptability to change
• Self-motivated, takes ownership in expectations/goals, and sees them through in a timely manner, and seeks supervision appropriately
• Knowledge of insurance billing both UB04/837 I and HCFA 1500/837P claims processing & insurance terminology
• Understanding of Critical Access and Rural Health billing
• Knowledge of Medicare, Medicaid, HMO, and private payer billing rules and regulations
• Ability to interpret and understand of payer remittance advices
• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Responsibilities

• Process insurance claims
• Follow-up on all unpaid claims and/or underpaid encounters
• Follow-up on denials
• Assists patients with billing questions and concerns

Benefits

• Health, vision and dental insurance
• 403b retirement program with employer match
• Paid time off
• Short-term disability, long-term disability and life insurance options
• Education reimbursement
• Employee assistance program (EAP)
• Wellbeing incentive program
• Free parking
• Employee prescription discount program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees