Insurance Billing Specialist: Claims & Denials Expert

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

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.