Insurance Billing Lead: Denials & Training, Day 1 PTO

Guthrie; Sayre (Bradford County); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

403(b) retirement plan

Employee Assistance Program

PTO starts Day 1

Supportive work culture

Job summary

Guthrie is seeking an Insurance Specialist II to lead billing operations, train staff, and collaborate with leadership to optimize insurance processing and appeals. The role emphasizes denials management, accurate reporting, and adherence to payer guidelines in a high-volume environment.

Candidates should have CPC/CODE certifications preferred, 3+ years of billing experience, and strong CPT/ICD-10 knowledge. The position supports a day shift within Guthrie’s healthcare network.

Qualifications

• High school diploma or equivalent required.
• CPC, CCA, RHIA, or RHIT certification preferred.
• Associate degree preferred.
• Three years of insurance billing experience or CPC certification required.
• Strong knowledge of CPT/ ICD-10 and payer regulations.

Responsibilities

• Identify and address denials; support denial task forces.
• Export data, prepare reports, and resolve outstanding claims.
• Analyze complex billing issues and prepare appeals.
• Train staff on rejection protocols and HIPAA-compliant practices.
• Ensure timely resolution of credit balances and escheatment prep.
• Provide excellent customer service to internal and external customers.

Skills

Customer service

Denial management

Data analysis

Team leadership

Medical billing terminology

Education

High school diploma or equivalent

CPC, CCA, RHIA, or RHIT certification

Associate degree

Tools

Epic

Job description

Guthrie is seeking an Insurance Specialist II to lead billing operations, train staff, and collaborate with leadership to optimize insurance processing and appeals. The role emphasizes denials management, accurate reporting, and adherence to payer guidelines in a high-volume environment.

Candidates should have CPC/CODE certifications preferred, 3+ years of billing experience, and strong CPT/ICD-10 knowledge. The position supports a day shift within Guthrie’s healthcare network.