What are the responsibilities and job description for the Billing Specialist position at Vernon Memorial HealthCare?
Are you passionate about delivering excellent customer service and adept at handling billing processes? Join our team as a Billing Specialist! In this new role, you will be responsible for verifying insurance eligibility and benefits, completing pre-authorizations for treatments and procedures, and preparing and submitting claims for Critical Access Hospital (CAH) and Provider-Based Rural Health Clinic (RHC) services.
In this role, you'll monitor claim activity and ensure compliance with billing requirements for various payers using the claims clearinghouse. Your analytical skills will help maximize reimbursement through claim analysis, appeals, and dispute resolution. You'll handle payments, adjustments, documentation, and respond to patient billing inquiries. Additionally, you'll manage daily accounts in Epic, assign service codes, research disputed charges, and maintain accurate billing records. You'll prepare month-end and fiscal year-end materials, assist with daily deposits, support Accounts Receivable (A/R) and denial management, verify codes, and aid in billing analytics. You'll also assist the Patient Financial Counselor, answer phones, perform general office duties, and serve as a backup for various department positions. Effective communication with payers and participation in staff and Epic meetings are also expected.
The Billing Specialist is offered an enhanced benefit package including medical, dental, vision, life, short-term disability, Paid Time Off and a 401k savings plan! This is a full-time position with hours from 8:00 AM to 4:30 PM, Monday through Friday, and a starting wage of $17.68 per hour, based on experience. If you thrive in a dynamic environment and have a strong attention to detail, we invite you to apply for this exciting opportunity.
Human Resources
Vernon Memorial Healthcare
507 South Main Street
Viroqua, WI 54665
(608) 637-4489
humanresources@vmh.org
www.vmh.org
We are a Critical Access Hospital with Rural Health Clinics looking for enthusiastic people who share in our mission, vision, and values to join our team. Bring your talent and skills to a place where you'll feel appreciated and experience rewarding work. Be part of a culture that practices teamwork, kindness, and collaboration.
Vernon Memorial Healthcare was awarded a 5-Star rating for Patient Experience and for Patient Quality from the Center for Medicare and Medicaid Services. VMH is one of three health systems in the state, and the only Critical Access Hospital in the state to have earned these recognitions!
Vernon Memorial Healthcare has been caring for the Viroqua area, as an independent, non-profit organization, since 1951. We have an Orthopedic and General Surgery center and a modern medical office building along with family practice clinics and retail pharmacies.
VMH's orthopedic team has received several awards for their commitment to excellence over the years, including:
America's 100 Best Hospitals for Joint Replacement™ for 3 Years in a Row
America's Joint Replacement Excellence Award™ for 11 Years in a Row
Top 5% in the Nation for Joint Replacement for 10 Years in a Row
Five-Star Recipient for Total Knee Replacement for 18 Years in a Row
Five-Star Recipient for Total Hip Replacement for 3 Years in a Row
Located near the Mississippi River, La Crosse and Madison, it is a great place to live, with abundant outdoor recreational opportunities and excellent public and private schools. Visit www.viroqua-wisconsin.com for more information on our thriving community.
Equal Opportunity Employer
Salary : $18
