Accounts Billing Specialist I

Accounts Billing Specialist I

Join a dedicated healthcare team in the heart of the Midwest region, where your role as a Billing Specialist I will be vital in managing insurance claims and patient account inquiries. This full-time, day shift position offers an opportunity to contribute to a supportive environment focused on growth and excellence.

As a Billing Specialist I, you will be responsible for accurately collecting and entering claims data, posting insurance information, submitting claims, and addressing patient questions regarding their accounts. You will report directly to the Billing Supervisor and play a key role in ensuring smooth billing operations.

• Enter necessary information for insurance claims, including patient and insurance details, ensuring completeness and accuracy.
• Submit insurance claims electronically or via paper forms such as UB04 and CMS-1500.
• Respond to patient inquiries about copays, deductibles, write-offs, and other account-related questions.
• Resolve patient complaints and explain coverage limitations.
• Follow up with insurance companies on unpaid or rejected claims, resolve issues, and resubmit as needed.
• Prepare appeal letters for denied claims, gathering all required documentation.
• Adhere to HIPAA guidelines when handling patient information.
• Perform soft collections by contacting patients regarding past due accounts through phone or mail.
• Understand managed care authorizations and coverage limits.
• Verify patient benefits eligibility and coverage.
• Prepare and submit secondary claims after primary insurer processing.

• Integrity: Uphold personal accountability and ethical standards.
• Compassion: Demonstrate empathy toward patients and families.
• Innovation: Embrace creative approaches to care and service.
• Philanthropy: Commit to stewardship of time and resources for community benefit.

High School Diploma or GED required. Previous medical billing experience is highly preferred. Familiarity with billing software and electronic data submission is advantageous.

Ability to communicate detailed information clearly, maintain concentration during repetitive tasks, and follow written instructions. Physical ability to stand, walk, sit, reach, and occasionally lift items up to 10 pounds.

Standard office environment with occasional exposure to noise, fumes, chemicals, and other hazards.