AR Specialist: Medical Billing & Denials Expert

Steele Memorial Medical Center; Salmon (ID); On-site; USD 40,000 - 56,000; Full time

Job summary

Steele Memorial Medical Center, in Salmon, Idaho, seeks an experienced billing specialist to manage hospital claims, follow up on unpaid balances, and coordinate with insurance carriers. The role emphasizes accuracy in claims submission, denial management, and collaboration with physicians and records staff.

The ideal candidate has experience with Medicare/Medicaid and commercial insurances, a strong understanding of medical terminology, and a commitment to timely, confidential processing in a

Qualifications

• Experience with medical billing and claims submission.
• Familiarity with Medicare/Medicaid and private insurance processing.
• Understanding of denial tracking and follow-up processes.

Responsibilities

• Bills insurance companies for Medicare, Medicaid, Blue Cross/Regence and Commercial insurances.
• Pursue collection of all claims till payment is made by insurance companies.
• Responsible for timely billing functions for all insurances including electronic claims filing, secondary filing and corrected claims.
• Responsible for denial tracking and reporting.
• Works follow-up WQ’s daily, handles re-billing and denials for secondary/tertiary bills.
• Maintains good relationships with insurance carriers.
• Returns messages and emails promptly.
• Processes refunds and credits and submits for approval.
• Monitors aging accounts and ensures timely collection.
• Secures required medical documentation for insurances.
• Remains compliant with confidentiality and departmental standards.
• Keeps updated on billing requirements for all insurance types.

Skills

Billing & Coding

Insurance follow-up

Medical terminology

Education

One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience

Job description

Steele Memorial Medical Center, in Salmon, Idaho, seeks an experienced billing specialist to manage hospital claims, follow up on unpaid balances, and coordinate with insurance carriers. The role emphasizes accuracy in claims submission, denial management, and collaboration with physicians and records staff.

The ideal candidate has experience with Medicare/Medicaid and commercial insurances, a strong understanding of medical terminology, and a commitment to timely, confidential processing in a