Insurance Specialist

Prairie View; Newton (KS); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Continuing education opportunities

Supportive team structure

Job summary

Prairie View in Newton, KS, is seeking a Patient Accounts & Billing Specialist to manage billing processes and ensure accurate reimbursement. The role involves collaboration with internal teams and vendors to optimize workflows and address payment discrepancies.

The ideal candidate has prior experience in medical billing and is proficient with electronic health records systems such as MyAvatar and Waystar. Join us for a supportive work environment and opportunities for professional growth.

Qualifications

• Previous experience in medical billing or insurance collections is preferred.
• Proficiency with electronic health records/billing systems is a plus.
• Ability to read and interpret financial ledgers.

Responsibilities

• Manage the end-to-end medical billing process.
• Collaborate with internal teams and third-party vendors.
• Follow up on outstanding claims for timely payments.
• Post payments accurately from various sources.
• Participate in professional development and team meetings.

Skills

Attention to detail

Problem-solving skills

Verbal communication skills

Written communication skills

Tools

MyAvatar

Waystar

Availity

Microsoft Excel

KMAP

Job description

About the Role

Are you detail-oriented, analytical, and passionate about supporting a smooth healthcare operation? We are looking for a Patient Accounts & Billing Specialist to join our team in Newton, KS. In this role, you will play a crucial part in our financial health by managing the end-to-end medical billing, claiming, and collections process. You will work closely with internal teams, third-party vendors, and insurance companies to ensure accurate reimbursement while contributing to a supportive, positive work culture.

If you thrive in a collaborative environment, value accuracy, and love solving puzzles inside spreadsheets and billing platforms, we want to hear from you!

Key Responsibilities

1. Claiming & Billing Accuracy
   • Collaborate with third-party billing vendors, internal teams, and Patient Account Specialists to gather missing or corrected information required for billing, statements, and reimbursement.
   • Support special projects aimed at optimizing billing workflows, maximizing reimbursement, and ensuring claims are paid timely and correctly.
2. Insurance Correspondence & Collections
   • Proactively follow up on outstanding claims with vendors and internal teammates to facilitate timely payments.
   • Manage insurance correspondence: process denials, apply appropriate discounts or refunds, and coordinate with Financial Counselors and Medical Records for required documentation.
   • Act as a resource for Patient Account Specialists regarding insurance eligibility, coverage details, and payment discrepancies.
3. Payment Posting
   • Accurately post assigned payments from insurance companies, third-party funding sources, contracts, and self-pay accounts.
   • Identify and communicate any insurance eligibility changes or specific denial trends to Patient Account Specialists.
4. Systems & Platforms
   • Navigate and interpret account ledgers to accurately post charges, payments, and corrections within MyAvatar.
   • Utilize various healthcare websites and clearinghouses, including Waystar, Availity, WPS/GHA, KMAP, and secure SFTP portals.
   • Efficiently organize, track, and work accounts, payments, and claims using Excel spreadsheets.
5. Professional Development & Team Collaboration
   • Actively participate in staff meetings and collaborate with your supervisor to build a personalized professional development plan.
   • Attend workshops, continuing education activities, and required in-service training to sharpen your billing expertise.
   • Complete assigned training modules via the Relias Learning platform to maintain compliance and enhance your skill set.
   • Maintain flexibility, accuracy, and a standard of excellence as department needs evolve, always bringing a team-oriented, cooperative attitude to the workplace.

Qualifications & Skills

• Experience: Previous experience in medical billing, healthcare accounts receivable, or insurance collections is highly preferred.
• Technical Savvy: Proficiency with electronic health records/billing systems (experience with MyAvatar, Waystar, Availity, or KMAP is a major plus) and strong familiarity with Microsoft Excel.
• Core Competencies: High attention to detail, strong problem-solving skills, dependability, and the ability to read and interpret financial ledgers.
• Communication: Excellent verbal and written communication skills for working with internal departments, external vendors, and insurance representatives.

Why Join Us?

We believe that a positive work environment starts with our people. We offer a supportive team structure, opportunities for continuing education and professional growth, and the chance to make a meaningful impact on healthcare delivery right here in Newton.