Billing Specialist I — Claims & Patient Support

Phelps Health; Rolla, Northern (MO, KY); Hybrid; USD 43,000 - 56,000; Full time

Job summary

Phelps Health is seeking a Billing Specialist I to support claims processing, from entering patient and insurer data to submitting claims and addressing patient inquiries. This role reports to the Billing Supervisor and emphasizes HIPAA-compliant handling of information and timely follow-up with insurers.

Strong preference for prior medical billing experience and familiarity with billing software and electronic submissions. This on-site position offers growth within a supportive health system.

Qualifications

• High School Diploma or GED is required.
• Medical billing experience highly preferred.
• Experience with billing software and electronic data submission is preferred.
• Follow HIPAA guidelines when handling patient information.

Responsibilities

• Enters information for insurance claims (patient, insurance, insurance ID).
• Submits claims to clearinghouse or insurance companies (electronic or paper CMA-1500/UB04).
• Answers patient questions on balances, copays, deductibles, write-offs, etc.
• Follow up with insurance companies on unpaid or rejected claims.
• Prepares appeal letters for denials and gathers supporting information.
• Verifies patient benefits eligibility and coverage as needed.
• Prepares and submits secondary claims after processing by primary insurer.

Skills

Medical billing

Billing software

Electronic data submission

HIPAA compliance

Education

High School Diploma or GED

Tools

CMS-1500 form

UB04 form

Job description

Phelps Health is seeking a Billing Specialist I to support claims processing, from entering patient and insurer data to submitting claims and addressing patient inquiries. This role reports to the Billing Supervisor and emphasizes HIPAA-compliant handling of information and timely follow-up with insurers.

Strong preference for prior medical billing experience and familiarity with billing software and electronic submissions. This on-site position offers growth within a supportive health system.