Insurance Billing Specialist

Upland Hills Health; Dodgeville (WI); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Paid Time Off from day one

Retirement Plan with matching

Wellness center access

Employee events

Job summary

Upland Hills Health is seeking an Insurance Billing Specialist for the Patient Financial Services Department at the Dodgeville Hospital Campus. This role focuses on timely claims processing for hospital and clinic locations, handling denials, refunds, and inquiries to ensure accurate billing.

The ideal candidate has a business-related degree, knowledge of Medicare/Medicaid/commercial plans, and familiarity with Epic, Excel, and Word.

Qualifications

• Two year or greater educational degree in Business or equivalent; experience also considered.
• Knowledge of Medicare, Medicaid and Commercial Insurance programs.
• Knowledge of hospital and/or clinic billing procedures and rules.
• Excellent interpersonal, organizational, and communication skills; problem solving.
• Competency with Microsoft Excel and Word.
• Experience with the Epic Medical Record system preferred.

Responsibilities

• Process insurance claims for hospital and clinic locations in a timely, accurate manner.
• Monitor outstanding accounts, handle insurance denials and late charges.
• Process refunds for overpaid accounts.
• Collaborate with clinical departments to reduce non-covered denials on claims.
• Coordinate with HIM department to identify issues due to coding edits.
• Answer billing inquiries from patients, insurers, and other departments about charges or discrepancies.

Skills

Microsoft Excel

Microsoft Word

Interpersonal skills

Organizational skills

Communication skills

Problem solving

Education

Associate degree in Business

Tools

Epic EHR

Job description

Position Title: Insurance Billing Specialist

Location: Upland Hills Health - Dodgeville Hospital Campus

Role & Department: Insurance Billing Specialist in the Patient Financial Services Department

Role Responsibilities

• Responsible for the timely and accurate processing of insurance claims for hospital and clinic locations
• Monitors outstanding accounts, works insurance denials and processes late charges
• Processes refunds for overpaid accounts
• Works closely with clinical departments to reduce non-covered denials received on claims
• Works closely with the HIM department to identify claims issues due to coding edits
• Receives and answers billing-related inquiries from patients, insurance companies and other clinic departments regarding charges and/or billing discrepancies

Qualifications

• Two year or greater educational degree in Business or equivalent, combination of experience and education preferred
• Knowledge of Medicare, Medicaid and Commercial Insurance programs
• Knowledge of hospital and/or clinic billing procedures and rules
• Excellent interpersonal, organizational, and communication skills as well as the ability to problem solve
• Competency with Microsoft Excel and Word programs
• Previous experience with the Epic Medical Record system is preferred

Employee Benefits

• Comprehensive benefits packages available for both part and full-time employees!
• Paid Time Off (PTO) benefits begin to accrue on day one!
• Retirement Plan with matching dollars available!
• Two wellness center facilities that employees are eligible to use free of charge & a minimal fee for spouses!
• Many Employer Sponsored Events held throughout the year to celebrate our employees!

Why Upland Hills Health

Upland Hills Health (UHH) consistently ranks as a very high performing health care institution in Southwestern Wisconsin. Located just 40 minutes from Madison, WI and as well from Dubuque, IA, the area is surrounded by wonderful communities and beautiful scenery. For over 100 years, Upland Hills Health has been dedicated to the promise of offering the highest standard of healthcare. Our community-minded staff emphasizes providing quality, comprehensive healthcare while offering a comfortable, neighborly welcome to everyone who walks through our doors. Here, neighbors care for neighbors!