Insurance Specialist - Spencer Hospital

Sioux Center Health; Spencer (IA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive wages

Affordable insurance

IPERS retirement

In-house education

Paid time off

Family gym membership

Job summary

Spencer Hospital in Spencer, IA is seeking a Billing Clerk to process medical claims and insurance submissions. You will call payors, verify eligibility, gather documentation, and ensure accurate billing data for government and private payers.

Experience with hospital billing and knowledge of medical terminology are preferred; EPIC experience is a plus. Strong communication and organizational skills are essential in a collaborative, patient-focused team.

Qualifications

• Experience in hospital or clinic billing preferred.
• Knowledge of medical and insurance terminology.
• Experience with EPIC a plus.
• Excellent communication, caring attitude, and teamwork.
• Strong organizational skills required.

Responsibilities

• Calling payors for payment.
• Process third-party insurance, Medicare, Medicaid, and other programs.
• Know payer regulations for submitting claims.
• Billing clerk sends claims electronically or on paper.
• Handle day-to-day requests for insurance resubmits.
• Answer calls and correspondence relating to the claim.
• Audit admission/registration information for billing accuracy.

Skills

Communication skills

Team player

Medical terminology

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 hospitallocated 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
• Musthave excellent communication skills, caring attitude and be a team player
• Strong organizational skillsarerequired
• 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!