Billing/Recovery Specialist

St. Luke’s Health System; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

Join a forward-thinking healthcare provider that values diversity and employee well-being. As a Billing/Recovery Specialist, you will play a crucial role in supporting Revenue Cycle functions, ensuring compliance with policies and regulations. This position offers a collaborative environment where you can thrive personally and professionally. With competitive benefits and opportunities for growth, you will be part of a community dedicated to caring for both patients and staff. If you're ready to make a difference in healthcare, this role is for you.

Benefits

On-site massages

Counseling services

Access to wellness tools

Retirement plans

Formal training opportunities

Qualifications

• Minimum 2 years of relevant experience in billing and reimbursement.
• High School Diploma or equivalent required.

Responsibilities

• Prepare and submit claims to insurance companies electronically.
• Verify claim completeness and accuracy prior to submission.
• Follow up on insurance claim denials and rejections.

Skills

Billing and Reimbursement

Insurance Recovery

Problem Resolution

Attention to Detail

Education

High School Diploma or equivalent

Job description

Overview

At St. Luke’s, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke’s is truly a great place to work.

Must be located in Idaho, Oregon, Utah or Arizona!

What you can expect from this role:

The Billing/Recovery Specialist is responsible for supporting Revenue Cycle functions, including Billing, Reimbursement, and Insurance Recovery. The role ensures compliance with company policies, procedures, and government regulations.

• Prepares and submits claims to insurance companies electronically or by paper.
• Verifies the completeness and accuracy of claims prior to submission and obtains missing information.
• Responds to questions from patients, clerical staff, and insurance companies.
• Identifies and resolves billing complaints.
• Follows up on insurance claim denials, rejections, and exclusions.
• Researches missing registration and insurance information as needed.
• Prepares correspondence, denials, and resolutions as directed.
• Understands insurance plan coverages, authorizations, and limits.
• Researches, trends, and resolves claim rejections and denials.
• Collects and resolves delayed payments from insurance companies.
• Coordinates with departments and insurance companies to correct errors.
• Analyzes denied reimbursement claims.
• Performs routine assignments under limited supervision, following policies and procedures.
• Resolves limited complexity problems and refers complex issues to higher levels.
• Serves as a resource to others in problem resolution.
• Audits and proofs claim reports for accuracy and compliance.
• Assists in special projects as needed.
• Performs duties requiring independent judgment.
• Performs other duties as assigned.

Qualifications:

• High School Diploma or equivalent.
• At least 2 years of relevant experience.

What’s in it for you

At St. Luke’s, caring for people in our communities is our mission, including our own team. We offer a comprehensive benefits package supporting both professional growth and personal well-being, including competitive salary, retirement plans, and wellness options like on-site massages, counseling, and access to the Virgin Pulse Wellness tool. We also provide formal training and career development opportunities to help you meet your goals.

St. Luke’s is an equal opportunity employer and does not discriminate based on race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or other protected statuses.

*Please note: this posting provides an overview and may not reflect all duties and responsibilities.