Patient Billing & Claims Specialist

Sullivan County Community Hospital; Benefiel Corner (IN); On-site; USD 32,000 - 42,000; Full time

Job summary

Sullivan County Community Hospital in Sullivan, IN is seeking a Full Time Clerical professional to support billing operations and patient inquiries. The role requires a high school diploma and emphasizes accurate claims processing, payer follow-up, and cross-training across responsibilities.

Ideal candidates bring familiarity with office equipment, solid written and oral communication, and the ability to work independently under time constraints while maintaining a customer-focused approach.

Qualifications

• High school graduate or equivalent required.
• Athena experience preferred and knowledge of office operations.
• Understanding of third party billing and Medicare/Medicaid billing.
• Commitment to customer service and responding to patient inquiries.
• Experience using office equipment and ability to adapt to workload changes.
• Excellent written and oral communication skills.
• Ability to work independently with minimal supervision.
• Strong cross-training attitude across tasks.

Responsibilities

• Review and correct claims issues identified in inhouse hold and claim scrubbing holds.
• Send clean, timely claims on first billing.
• Reconcile desktops to ensure upfront rejection of claims is processed and resubmitted correctly.
• Review outstanding accounts receivable using ATB, queues, and payment reports.
• Submit timely and accurate adjustments with documented activity in accounts.
• Understand and manage denials, submitting timely disputes and appeals.
• Follow up with payors to ensure claims are processed and paid per contract.
• Understand payor contracts, revenue codes, CPT codes, modifiers, and payor-specific guidelines.
• Investigate and report denial trends with payer documentation for action planning.
• Provide back-up phone support to billing lines daily.

Skills

Athena experience

Office operations

Third party billing

Medicare/Medicaid billing

Customer service

Office equipment

Adaptability

Communication skills

Independence

Cross-training

Education

High school graduate or equivalent

Job description

Sullivan County Community Hospital in Sullivan, IN is seeking a Full Time Clerical professional to support billing operations and patient inquiries. The role requires a high school diploma and emphasizes accurate claims processing, payer follow-up, and cross-training across responsibilities.

Ideal candidates bring familiarity with office equipment, solid written and oral communication, and the ability to work independently under time constraints while maintaining a customer-focused approach.