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Billing and Insurance Specialist

Great River Health
Mount Pleasant, IA Full Time
POSTED ON 1/28/2025
AVAILABLE BEFORE 3/27/2025
Minimum Hiring Wage:
From $18.89 per hour
Job Details:
Scheduled hours: Monday - Friday 8am - 4:30pm
Job Description:
  • Coordinates and assists in reimbursement for services provided.
  • Accurately files insurance claims for the purpose of settling claims with insurance carrier.
  • Handles all electronic billing functions.
  • Verifies accuracy of billing data and revises any errors.
  • Operates typing, adding, calculating, and billing software.
  • Prepares itemized statements, bills, or invoices; and records amounts due for services rendered.
  • Performs data entry work, including posting charges and keeping other records concerning patient charges.
  • Keeps records of supporting documents.
  • Resolves discrepancies in accounting records.
  • Types billing documents, processes credits using computers. Contacts patients in order to obtain or relay account information.
  • Computes rates for services in order to complete billing documents. Electronic claim filing.
  • Maintains electronic filing system.
  • Process new insurance policies, modifications to existing policies, and claims forms.
  • Obtain information from policyholders to verify the accuracy and completeness of information on claims forms, applications and related documents, and company records.
  • Update existing policies and company records to reflect changes requested by policyholders and insurance company representatives.
  • Maintains knowledge of current government and/or carrier regulations relevant to industry.
  • Follows-up on outstanding accounts and makes proper notations in billing software.
  • Work denials and appeals for all insurance carriers.
  • Reviews information for follow-up on primary and secondary insurances to file, re-file, or appeal claims.
  • Resolves billing issues by correctly answering questions, determining & recommending how outstanding accounts should be further processed, and providing appropriate follow-up on issues.
Qualifications:
Required:
Customer service experience required
Experience working with computers
Typing experience, 45 WPM
Preferred:
Medical terminology
Benefits:
We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:
  • Competitive base pay
  • Matching retirement programs
  • Health, Dental and Vision plans
  • Health Savings and Flexible Spending Accounts
  • Employee discounts including car rental, cell-phone plans
  • Employer-paid, Long-Term Disability, Life, and AD&D
  • Paid time off (PTO)
  • Education Assistance Program
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Discounted cafeteria meals
  • Paid Parental Leave
  • Employee Service Recognition program
  • Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Salary : $19

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