Insurance Specialist

Sioux Center Health; Sioux Center (IA); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Affordable insurance

IPERS retirement

Paid time off

In-house education

Family gym membership

Job summary

Spencer Hospital is seeking a Billing Clerk to support billing and claims processing. The role involves contacting payors, handling third-party and government program submissions, and ensuring accurate admission/registration data before billing.

Requires HS diploma or equivalent, knowledge of medical/insurance terminology, and strong communication with a team-oriented mindset. EPIC experience is a plus, and schedule is typically M-F, 8:00 am–4:30 pm on site.

Qualifications

• Knowledge of medical and insurance terminology.
• Experience with EPIC is a plus.
• Excellent communication and team skills.
• Strong organizational abilities.

Responsibilities

• Calling payors for payment.
• Process third party insurance, Medicare, Medicaid and other programs.
• Submit claims electronically or on paper as required.
• Handle day-to-day requests for insurance resubmits.
• Answer phone calls and correspondence related to claims.
• Audit admission/registration data for accuracy prior to billing.

Skills

Medical terminology

Insurance terminology

Communication skills

Team player

Organizational skills

Education

HS diploma or equivalent

Tools

EPIC

Job description

Location:

Spencer, IA

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.

Position Highlights

Spencer Hospital is a rural hospital located in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital.

Responsibilities

• Calling payors for payment
• Performs routine duties in conjunction with processing all third party insurance, Medicare, Medicaid and other government assisted programs.
• Clerks will have a good working knowledge of all payer regulations for submitting claims.
• Billing clerk will send claims either electronically or hard copy depending on the type of claim being processed.
• Handles day to day requests for insurance resubmits.
• Answers phone calls and correspondence relating to the claim.
• Audits the admission/registration information to ensure accuracy prior to billing and check for missing or incorrect information or authorizations

Requirements

• Previous hospital and/or clinic billing experience preferred
• Knowledge of medical and insurance terminology
• Experience with EPIC is a plus
• Must have excellent communication skills, caring attitude and be a team player
• Strong organizational skills are required
• HS diploma or equivalent required

Schedule

• 80 hrs per pay period
• M-F; 8a-4:30pm
• The schedule may fluctuate based upon needs of the department

Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, family gym membership and so much more!