Patient Billing & Denials Specialist

stormontvail; Topeka (KS); On-site; USD 42,000 - 64,000; Full time

Job summary

Stormont Vail Health is seeking a healthcare billing specialist to coordinate complex claim submissions with a team handling third-party payors. Responsibilities include submitting accurate claims, addressing denials, and appealing underpayments to maximize cash flow.

The role requires knowledge of third-party billing requirements, strong communication, and the ability to analyze payer policies. A progressive environment emphasizes compliance with HIPAA and regulatory standards.

Qualifications

• Knowledge of major third-party billing and contract requirements.
• Superior written and oral communication skills.
• Ability to read, analyze and interpret general business material and government regulations.

Responsibilities

• Generates re-bills after edits are resolved and re-submits claims to third-party payors.
• Identifies and resolves electronic claim edit failures in a timely manner.
• Writes appeals to obtain payment or coordinates with clinical departments to write appeals for medical necessity.
• Notifies management of potential process or system problems causing payer payment errors.
• Collects data and prepares timely reports to monitor compliance and productivity.

Skills

Billing know-how

Attention to detail

Communication skills

Analytical thinking

Education

High School Diploma / GED

Bachelor's degree in Business / Accounting / Finance

Tools

Medical terminology

Job description

Stormont Vail Health is seeking a healthcare billing specialist to coordinate complex claim submissions with a team handling third-party payors. Responsibilities include submitting accurate claims, addressing denials, and appealing underpayments to maximize cash flow.

The role requires knowledge of third-party billing requirements, strong communication, and the ability to analyze payer policies. A progressive environment emphasizes compliance with HIPAA and regulatory standards.