Healthcare Billing Specialist – Claims & Reimbursement

Croix Health; Wisconsin, United States, Northern America, Americas; Hybrid; USD 38,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

403b retirement with employer match

Paid time off

Disability insurance

Education reimbursement

Employee assistance program (EAP)

Wellbeing incentive program

Free parking

Job summary

St. Croix Health is seeking an Insurance Billing Specialist to join our team. This role focuses on processing medical insurance claims, ensuring maximum reimbursement, and resolving holds and denials across Rural Health and Critical Access facilities.

The position requires strong attention to detail, effective communication, and the ability to work with various payers and billing systems; familiarity with UB04/837 I and HCFA 1500/837P is a plus.

Qualifications

• High school diploma required; an associate degree in medical administration or related field is preferred.
• Experience with billing in healthcare and knowledge of claims processing is expected.
• Experience with electronic medical records and billing systems is preferred.

Responsibilities

• Process insurance claims and ensure accurate submission.
• Follow-up on unpaid or underpaid claims and monitor aging.
• Review and appeal denials by payer policies.
• Assist patients with billing questions and explanations of benefits.

Skills

Billing

Microsoft Office

Communication

Prioritization

Adaptability

Education

High school diploma

Associate degree

Healthcare experience

Tools

EMR systems

Billing software

Job description

St. Croix Health is seeking an Insurance Billing Specialist to join our team. This role focuses on processing medical insurance claims, ensuring maximum reimbursement, and resolving holds and denials across Rural Health and Critical Access facilities.

The position requires strong attention to detail, effective communication, and the ability to work with various payers and billing systems; familiarity with UB04/837 I and HCFA 1500/837P is a plus.