BUSINESS OFFICE INSURANCE SPECIALIST

Employment Type: Full Time
Location: Orange City Area Health System Main Campus, 1000 Lincoln Circle SE, Orange City, IA 51041

About the role

This role is responsible for managing insurance claims and ensuring timely reimbursement for services provided in inpatient, outpatient, and clinical contexts. The specialist will monitor patient charge work queues, resolve discrepancies, process claims, post charges, and address any issues related to insurance payments. Additionally, the role involves preparing and processing work comp and third-party liability claims, as well as following up on payments. The specialist will collaborate closely with colleagues in the Business Office, patients, insurance companies, and other hospital departments to facilitate smooth billing operations.

Responsibilities

• Manage insurance claims and ensure timely reimbursement for services
• Monitor patient charge work queues and resolve discrepancies
• Process claims and post charges
• Resolve issues related to insurance payments
• Prepare and process work comp and third-party liability claims
• Follow up on payments
• Collaborate with Business Office colleagues, patients, insurance companies, and other hospital departments

Requirements

• Associate's degree in healthcare, business, or related field required
• Certified Professional Biller (CPB), Certified Professional Coder (CPC), or similar certification preferred
• Minimum of two years of experience in medical billing, insurance claims processing, and claim reimbursement or a related field preferred (will train the correct candidate)
• Strong understanding of insurance policies and procedures
• Excellent communication and interpersonal skills
• Attention to detail
• Proficiency in medical billing software
• Experience with EPIC preferred

Schedule

Monday - Friday, 40 hours/week

Benefits

• IPERS (Retirement Package)
• Paid Time Off
• Health Insurance
• Life Insurance
• Dental & Vision Insurance