Healthcare Billing Specialist II - Claims & Reimbursements

Phelps Health; Rolla (MO); Sur place; USD 42 000 - 62 000; Plein temps

Résumé du poste

Phelps Health in Rolla, Missouri is hiring a Billing Specialist II to manage insurance claims from initial submission to payment reconciliation. You will enter claims, post insurance payments, and respond to patient inquiries about balances and denials.

The role requires 3 years of medical billing experience, an associate degree or billing certification, and familiarity with billing software. HIPAA compliance and accurate coding support are essential.

Qualifications

• 3 years medical billing experience required.
• Experience with billing software and electronic data submission preferred.
• High school diploma or GED or equivalent fundamental requirement.

Responsabilités

• Enters information necessary for insurance claims such as patient insurance and insurance ID.
• Submits insurance claims to clearinghouse or insurance companies electronically or via paper forms.
• Responds to patient questions regarding claims processing, co-pays, deductibles, and adjustments.
• Follows up on unpaid or rejected claims and forwards denials for appeals when needed.
• Prepares appeal letters and collects information to accompany them.
• Verifies patient benefits eligibility using payer portals or direct contact.
• Researches reference materials to ensure first-pass claim submissions.
• Ensures correct occurrence and condition codes on claims and refers issues to coding staff.
• Submits replacement claims for late charges and collaborates with precert team on authorizations.

Connaissances

Medical billing knowledge

HIPAA compliance

Customer inquiries handling

Formation

Associate degree or billing certification

Outils

Billing software

Electronic data submission

Description du poste

Phelps Health in Rolla, Missouri is hiring a Billing Specialist II to manage insurance claims from initial submission to payment reconciliation. You will enter claims, post insurance payments, and respond to patient inquiries about balances and denials.

The role requires 3 years of medical billing experience, an associate degree or billing certification, and familiarity with billing software. HIPAA compliance and accurate coding support are essential.