Billing Specialist: Denial Analytics & Reimbursement Expert

Beacon Health System; Granger (IN); On-site; USD 42,000 - 62,000; Full time

Job summary

Beacon Health System in Indiana seeks a Billing Specialist Representative to secure timely reimbursements by resolving payer issues and denials. You will analyze payment variances, follow up on accounts, and collaborate with other departments to ensure accurate claims.

The role requires strong analytical thinking, attention to detail, and adaptability in a fast-paced healthcare environment. 2+ years in insurance billing is preferred, with UB-04/CMS-1500 experience.

Qualifications

• Associate’s or Bachelor’s degree in healthcare or related field preferred.
• 2+ years of insurance billing and follow-up experience preferred.
• UB-04/CMS-1500 familiarity helpful.

Responsibilities

• Submit timely and accurate claims (UB-04/CMS-1500) to payers.
• Follow up on outstanding receivables including appeals and disputes.
• Identify and resolve payer overpayments.
• Analyze denial reasons and payment variances; suggest improvements.
• Maintain knowledge of payer guidelines and regulations.
• Document actions and communications in billing system.

Skills

Analytical skills

Problem solving

Organization

Written communication

Verbal communication

Prioritization

Multi-tasking

Microsoft 365

Patient accounting systems

Critical thinking

Education

Associate’s or Bachelor’s degree in healthcare or related field

Tools

Microsoft 365

Patient accounting systems

Job description

Beacon Health System in Indiana seeks a Billing Specialist Representative to secure timely reimbursements by resolving payer issues and denials. You will analyze payment variances, follow up on accounts, and collaborate with other departments to ensure accurate claims.

The role requires strong analytical thinking, attention to detail, and adaptability in a fast-paced healthcare environment. 2+ years in insurance billing is preferred, with UB-04/CMS-1500 experience.