Accounts Billing Specialist

Accounts Billing Specialist

Lynnville, IA $49,009 - $60,009 a year

Full Time

We are seeking a dedicated Accounts Billing Specialist to join our team in a regional healthcare setting within the Midwest. This full-time role involves managing the submission and follow-up of clean insurance claims for hospital and clinic services, ensuring timely and accurate billing processes.

Key Responsibilities

• Prepare and submit clean claims electronically or by paper to various insurance companies.
• Verify all necessary information for insurance claims to ensure accuracy and timeliness.
• Collaborate with healthcare providers and departments to confirm correct charges, diagnoses, and procedures are reported.
• Follow up on unpaid claims within standard billing cycles and resolve discrepancies.
• Address patient billing inquiries and complaints with professionalism and care.
• Review insurance payments for accuracy and compliance with contracts or discounts.
• Communicate with insurance companies regarding payment discrepancies and secondary or tertiary insurance billing.
• Manage all billing correspondence and mail promptly and appropriately.
• Investigate claims involving third parties and handle hospital lien filings and satisfactions.
• Send patient letters requesting additional payment information as needed.
• Process late charges and refunds within established timeframes.
• Serve as the primary contact for all office billing matters, including insurance and third-party claims.
• Maintain up-to-date knowledge of Medicare, Medicaid, and third-party payer billing requirements and changes.
• Run, review, and follow up on reports to ensure accuracy of encounter forms, daily charges, receipts, insurance submissions, and accounts receivable.

Education and Experience

• High school diploma or GED equivalent is required.
• Proficiency with PC and experience in inpatient and outpatient hospital insurance claims filing and reimbursement principles is preferred.
• Ability to operate standard office equipment efficiently.

This role offers a warm and supportive environment where attention to detail and effective communication are valued. Join us to contribute to smooth billing operations in a dynamic healthcare setting serving the Midwest region.