Insurance Billing Specialist

Wooster Community Hospital; Wooster (OH); On-site; USD 23,000 - 28,000; Full time

Job summary

Wooster Community Hospital is seeking an Insurance Billing Specialist to manage patient claims and follow up on payments. The role includes resolving insurance balances and interfacing with other departments to correct issues, with duties to handle inquiries and ensure timely cash posting.

The position requires a high school diploma or GED, solid problem solving, Excel proficiency, and at least one year of hospital billing experience.

Qualifications

• High School Diploma or GED is required.
• Excellent problem solving skills.
• Basic Microsoft Office skills, including Excel.
• Able to self-direct and manage time effectively.
• Willingness to learn new systems and processes.
• Able to adapt to changing departmental needs and priorities.
• Strong organizational skills.
• One year of current billing experience in a hospital setting.
• No written disciplinary action within the last 12 months.

Responsibilities

• Effectively collect and resolve third party patient accounts receivable by performing appropriate claims follow up.
• Provide customer service to internal and external customers to assist in claims resolution.
• Develop and maintain knowledge around payer reimbursement to ensure appropriate payment on claims.
• Use payer portals and other online resources to resolve outstanding claims.
• Perform other duties as assigned by leadership.

Skills

Problem solving

Time management

Organizational skills

Self-direction

Adaptability

Communication

Education

High School Diploma or GED

Tools

Excel

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Billing Specialist

PT FINANCIAL SV Full Time Clerical Wooster Community Hospital, Wooster, OH, US

4 days ago Requisition ID: 3290

Salary Range: $17.00 To $20.00 Hourly

Insurance Billing Specialist

MAIN FUNCTION

Submits patient claims to their prospective payors, either electronic or hardcopy. Follow-up on submitted claims for payment. Collaborates with other departments to resolve outstanding claims. Handles inquiries on patient accounts regarding insurance balances. Follow up on credit balances, charging or cash posting payments and adjustment errors.

RESPONSIBLE TO: System Manager, Revenue Cycle

MUST HAVE REQUIREMENTS

• High School Diploma or GED.
• Excellent problem solving skills
• Basic Microsoft Office skills, including Excel
• Ability to self-direct and manage time effectively.
• Ability and willingness to learn new systems and processes.
• Ability and willingness to adapt to changing departmental needs and priorities.
• Strong organizational skills.
• 1 year current billing experience, preferably in a hospital setting.
• No written disciplinary action within the last 12 months.

PREFERRED ATTRIBUTES

• Previous hospital billing experience to include follow up with all payer sources, computer and word processing experience.
• Knowledge medical coding, including CPT, HCPC and diagnosis coding
• Demonstrated effective oral communication skills.

All position expectations are ADA essential.

Follows Appropriate Service Standards

POSITION EXPECTATIONS

• Effectively collect and resolve third party patient accounts receivable by performing appropriate claims follow up, utilizing standard and compliant practices.
• Provide customer service to internal and external customers to assist in claims resolution.
• Develop and maintain knowledge and skills around payer reimbursement to ensure appropriate payment on claims.
• Effective and efficient use of payer portals and other online resources to resolve outstanding claims.
• Other duties as assigned by leadership.

Revised Dates: 5/99, 2/00, 3/02, 7/03, 8/03, 3/04, 3/05, 4/10, 11/10, 4/11,5/18, 2/20, 11/23