Billing Specialist I - HB | 1.0 FT

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

## Billing Specialist I - HB | 1.0 FTApply: Phelps Health Hospital: Full time: Posted Yesterday: JR104214**Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.**No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.**General Summary*** The Billing Specialist I is responsible for collecting and entering claims, post insurance, submit claims, and answer patient inquiries on accounts. Reports to the Billing Supervisor.**Essential Duties and Responsibilities*** Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate.* Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form.* Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered.* Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.* Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter.* Follows HIPAA guidelines in handling patient information.* May perform \"soft\" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.* Understand managed care authorizations and limits to coverage such as number of visits.* Verify patient benefits eligibility and coverage as needed.* Prepares and submits secondary claims upon processing by primary insurer.**Education*** High School Diploma or GED required.**Work Experience*** Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred.**Certification/License*** Certification/License**Mental/Physical Requirements*** Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds. .**Working Conditions*** Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.*At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.*