Insurance Billing Specialist

Crossing Rivers Health • Prairie du Chien, WI

6d

About The Position

The Insurance Billing Specialist reviews and updates claims requiring manual intervention, submits claims to insurance carriers, follows up on unpaid claims, and resolves denied claims by correcting errors or providing information needed to dispute or resubmit them. The position uses EPIC and involves routine problem solving and responding to inquiries from insurance carriers and patients, with the goal of resolving accounts.

The specialist also supports patients with billing questions and financial responsibilities, accepts payments, and sets up payment plans. The role is full time, days, and is listed as 80 hours per pay period.

Requirements

• High school diploma or GED.
• Proficiency in Microsoft Office.
• Ability to perform essential functions satisfactorily, with or without reasonable accommodation.

Nice To Haves

• Associate’s degree in a business-related field.
• 1–2 years of healthcare billing experience.
• 1–2 years of EPIC experience.

Responsibilities

• Review, edit, and correct claims as needed, checking their accuracy and readiness for submission through EPIC.
• Prepare and submit claims to insurance carriers and intermediaries, including releasing electronic claims, printing paper claims, and submitting secondary claims as required by payers.
• Work with departments to ensure held claims are released to payers within timely filing limits.
• Follow up on unpaid claims by contacting payers by phone or using payer portals.
• Respond to routine patient and insurance company inquiries and problems.
• Research denials and non-covered charges and resubmit or appeal claims as necessary.
• Review late charges for rebilling or claim adjustment as necessary.
• Review insurance eligibility or coverage changes, resolve outstanding issues, and rebill claims when necessary.
• Update patient demographic and insurance information as needed.
• Review insurance credit balances and determine whether a refund or other action is needed to settle the account.
• Respond promptly and courteously to patient requests and inquiries, answer incoming Business Office calls, explain patients’ financial responsibilities, accept payments, and set up payment plans.
• Perform other duties as needed to support the department, organization, and patients.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Short-term disability
• Paid time off
• Retirement plan with company match
• Competitive pay
• Relocation incentive may be available for eligible out-of-state households moving to Crawford County, Wisconsin through the Talent Recruitment Grant

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED