Billing Specialist I: Claims & Patient Support

Phelps Health; Rolla (MO); Hybrid; USD 42,000 - 56,000; Full time

Job summary

Phelps Health is seeking a Billing Specialist I to manage insurance claims, post payments, and respond to patient inquiries within a hospital setting in Missouri. The role requires accuracy in data entry and adherence to HIPAA guidelines while interacting with insurance companies and patients.

The ideal candidate has high school diploma or GED and experience with medical billing software, with preference for prior billing experience in a healthcare environment.

Qualifications

• High School Diploma or GED required.
• Medical billing experience highly preferred.
• Experience in billing software and electronic data submission preferred.

Responsibilities

• Enters information necessary for insurance claims such as patient, insurance, and insurance ID.
• Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and CMS-1500 forms.
• Answers patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
• Follows up with insurance company on unpaid or rejected claims.
• Prepares appeal letters to insurance carrier when not in agreement with claim denial.
• Verifies patient benefits eligibility and coverage as needed.
• Maintains HIPAA guidelines in handling patient information.

Skills

Medical billing

Insurance claims

Data entry

Education

High School Diploma or GED

Tools

Billing software

Job description

Phelps Health is seeking a Billing Specialist I to manage insurance claims, post payments, and respond to patient inquiries within a hospital setting in Missouri. The role requires accuracy in data entry and adherence to HIPAA guidelines while interacting with insurance companies and patients.

The ideal candidate has high school diploma or GED and experience with medical billing software, with preference for prior billing experience in a healthcare environment.