Insurance Specialist

PRAIRIE VIEW INC•Newton, KS

4d•Onsite

About The Position

The Insurance Specialist is responsible for various aspects of the revenue cycle, including claiming, collections, payment posting, and platform utilization. This role requires strong organizational skills, attention to detail, and the ability to work independently and as part of a team. The specialist will contribute to maximizing reimbursement, ensuring timely payments, and maintaining a positive work environment. Professional development and performance improvement are also key components of this position, aligning with the organization's mission and values.

Requirements

High School degree required
Previous healthcare insurance/billing experience
Good organizational skills required
Proficient at basic keyboarding/word processing skills
Knowledge and experience of Microsoft Word, Outlook, and Excel required
Strong communication skills (written and verbal) required
Ability to prioritize work load with multiple priorities required
Attention to detail required
Ability to work independently and make decisions required
Ability to work with others across the organization to ensure accurate billing of claims required
Must be able to pass both a Kansas Bureau of Investigation Screen and Central Registry Screen

Nice To Haves

Basic accounting knowledge preferred
PowerPoint preferred
Ability to analyze data to identify areas for improvement in the billing process preferred
Ability to maintain an up to date knowledge of industry trends in healthcare legislation, regulations, and processes preferred

Responsibilities

Work with third-party vendors and internal teams to obtain necessary information for claiming, billing, and reimbursement.
Follow up on outstanding claims to facilitate timely payment.
Process insurance correspondence, including denials, discounts, and refunds.
Post payments from insurance companies and other funding sources.
Utilize various platforms and software (e.g., MyAvatar, Waystar, Availity, WPS/GHA, KMAP, SFTP, Excel) for account management, posting, and claim processing.
Maintain flexibility and perform a variety of duties as department needs change.
Communicate accurate and relevant information to other staff members.
Participate in professional development activities, including attending workshops and utilizing learning platforms.
Participate in organizational performance improvement activities.
Contribute to a positive work environment by treating others with respect and dignity.
Maintain confidentiality in all aspects of the position.
Use problem situations as learning opportunities.
Bring energy and a positive attitude to the workplace.