Insurance Specialist I - Corporate Patient AR Management - Full Time
for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title as heading. No Job ID etc. Remove boilerplate. Preserve all substantive info.
We need to parse the posting.
Content:
- Intro paragraph: "Build a Rewarding Career at the Intersection of Healthcare, Customer Service, and Problem-Solving As an Insurance Specialist II, you'll gain valuable industry knowledge while helping patients and care teams navigate the complexities of insurance and healthcare coverage."
- Why Choose Guthrie: bullet list: Voluntary 403(b) Retirement Plan with Fidelity investment options; Employee Assistance Program providing confidential support for personal and professional well-being; PTO starts Day 1; Friendly, inclusive work family where you'll feel valued and supported.
- Recognized as a Top Healthcare Employer: list of recognitions.
- Schedule & Coverage: "- Full-Time, Day Shift, Hybrid work schedule after orientation period"
- Position Summary: paragraph describing responsibilities.
- Education, License & Cert: "High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred."
- Experience: "Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment."
- Essential Functions: list 1-10.
- Other Duties: list 1-6.
- The pay range: "$17.40-$25.85/hr. based on experience."
We need to map to sections.
About the role: could be the intro paragraph + maybe Position Summary? Usually About the role is a brief description. We'll put intro paragraph there.
Responsibilities: could be Position Summary paragraph plus Essential Functions and Other Duties? But we need to separate sections: Responsibilities (duties), Requirements (education/experience?), Qualifications (certifications?), Skills (skills), Benefits, Pay, Schedule.
We need to decide what goes where.
We have:
- Benefits: Voluntary 403(b) Retirement Plan, Employee Assistance Program, PTO starts Day 1, Friendly inclusive work family, Recognitions (Top Healthcare Employer) maybe also benefits? Could be separate but we can include under Benefits.
- Schedule: Full-Time, Day Shift, Hybrid work schedule after orientation period.
- Pay: $17.40-$25.85/hr based on experience.
- Requirements: Education (high school diploma required; certifications preferred). Experience (organizational, customer service, office software, high volume fast paced). Could be under Requirements.
- Qualifications: maybe certifications? But we already have education. Could combine.
- Skills: Strong organizational and customer service skills, experience with Word/Excel, etc. Could be under Skills.
But we must avoid duplication. Let's think: The posting includes Education, License & Cert; Experience; Essential Functions; Other Duties; Pay range; Schedule.
We can structure:
About the role
Build a Rewarding Career at the Intersection of Healthcare, Customer Service, and Problem-Solving As an Insurance Specialist II, you'll gain valuable industry knowledge while helping patients and care teams navigate the complexities of insurance and healthcare coverage.
Responsibilities
Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation.
- Works pre‑AR edits, paper claims, reports and work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or submission issues.
- Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks to expand insurance billing knowledge and skills.
- Follows up on rejected and/or non‑responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment.
- Provides back up to Central Charge Entry and Cash Applications. Manually enters charges, posts and distributes insurance and patient payments.
- Promptly reports payer, system or billing issues.
- Utilizes Epic system functions accurately to perform assigned tasks. Ex: charge corrections, invoice inquiry, billing edits, insurance eligibility.
- Exports and prepares spreadsheets, manipulating data fields for project work.
- Identifies and provides appropriate follow up for claims that require correction or appeal.
- Provides timely resolution of credit balance as identified and/or assigned.
- Requests adjustments on invoices that have been thoroughly researched and/or were unable to reach payment resolution. Documents support on request forms and performs adjustments within policy guidelines.
Other Duties
- Provides feedback related to workflow processes in order to promote efficiency.
- Answers phone calls and correspondence providing request information. Documents action taken and provides appropriate follow up.
- Acquires and maintains knowledge of and performs within the compliance of the Guthrie Clinic’s Corporate Revenue Cycle policies and insurance payer regulations and guidelines.
- Demonstrates excellent customer service skills for both internal and external customers.
- Maintains strict confidentiality related to patient health information in accordance with HIPAA regulations.
- Assists with and completes projects and other duties as assigned.
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Use - for any list of duties/requirements/benefits, and
for prose. Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones.
Thus we need to decide which sections to include. We have content for About the role (intro). Responsibilities (position summary + essential functions + other duties). Requirements (education, experience). Qualifications maybe not needed if we covered education under Requirements. Skills maybe we can include under Requirements or separate. Benefits we have: Voluntary 403(b) Retirement Plan, Employee Assistance Program, PTO starts Day 1, Friendly inclusive work family, Recognitions (Top Healthcare Employer). Pay we have: $17.40-$25.85/hr based on experience. Schedule we have: Full-Time, Day Shift, Hybrid work schedule after orientation period.
Thus we can include sections: About the role, Responsibilities, Requirements, Benefits, Pay, Schedule. Possibly Skills could be merged into Requirements. Qualifications maybe not needed.
We must not create thin sections; we have substantive content for each.
We need to ensure we don't duplicate content. For Requirements we can list education and experience as bullet list.
For Benefits we list bullet list.
For Pay we can just have a
with the pay range.
For Schedule we can have a
with schedule.
We must not include headings with no content.
Now we need to output only HTML fragment, no /, no markdown.
Let's craft.
First, About the role: intro paragraph.
Second, Responsibilities: we need to include Position Summary paragraph and then the essential functions list and other duties list? Could combine all duties under Responsibilities. But we have other duties separate list; we could include them as part of Responsibilities as well. However we might want to keep them separate? The instruction says prefer a few substantive sections over many thin ones. So we could combine essential functions and other duties into one Responsibilities section with two lists: maybe separate headings inside? But we cannot add extra headings beyond the allowed ones? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but we should stick to those. We could embed lists directly under Responsibilities.
Thus Responsibilities section will have a
for the position summary, then
for essential functions, then another for other duties. That's fine.
Now Requirements: we need education and experience. Could be bullet list.
Education: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
Experience: Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment.
We could combine into bullet list.
Skills: maybe we could include under Requirements as bullet points as well, but we already have skills in experience. Could separate Skills section: Strong organizational and customer service skills, proficiency with Word and Excel, ability to work in high volume fast-paced environment. But that would be thin? Might be okay.
But we already have those in Requirements. To avoid duplication, we can put skills under Requirements as bullet list.
Thus Requirements section will have bullet list covering education, experience, skills.
Now Benefits: bullet list.
Pay: .
Schedule:
.
Now ensure we don't include any boilerplate like "Recognized as a Top Healthcare Employer:" we included that under Benefits as bullet list.
Now check for duplication: We included Position Summary paragraph under Responsibilities. That includes many duties; we also have essential functions list which repeats some of those duties but more detailed. That's okay; we need to preserve all substantive info. The Position Summary is prose; essential functions list is more detailed. We should not omit any.
Now check for any other substantive info: "Recognized as a Top Healthcare Employer: Guthrie is consistently recognized for its strong workplace culture and commitment to caregiver well-being, including: - Best Places to Work 2025 – Modern Healthcare - America's Greatest Workplaces in Healthcare 2025, 2026 – Newsweek - America's Best-In-State Employers (PA) 2025 – Forbes - America's Best Employers for Healthcare Professionals 2025 – Forbes - America's Best Employers for Women 2025 – Forbes". We'll put that as bullet list under Benefits.
Now check for any other info: "Why Choose Guthrie:" bullet list includes Voluntary 403(b) Retirement Plan with Fidelity investment options; Employee Assistance Program providing confidential support for personal and professional well-being; PTO starts Day 1; Friendly, inclusive work family where you'll feel valued and supported. We'll include those under Benefits as well.
Now check for any other info: "Schedule & Coverage: - Full-Time, Day Shift, Hybrid
for prose. Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones. Thus we need to decide which sections to include. We have content for About the role (intro). Responsibilities (position summary + essential functions + other duties). Requirements (education, experience). Qualifications maybe not needed if we covered education under Requirements. Skills maybe we can include under Requirements or separate. Benefits we have: Voluntary 403(b) Retirement Plan, Employee Assistance Program, PTO starts Day 1, Friendly inclusive work family, Recognitions (Top Healthcare Employer). Pay we have: $17.40-$25.85/hr based on experience. Schedule we have: Full-Time, Day Shift, Hybrid work schedule after orientation period. Thus we can include sections: About the role, Responsibilities, Requirements, Benefits, Pay, Schedule. Possibly Skills could be merged into Requirements. Qualifications maybe not needed. We must not create thin sections; we have substantive content for each. We need to ensure we don't duplicate content. For Requirements we can list education and experience as bullet list. For Benefits we list bullet list. For Pay we can just have a
with the pay range. For Schedule we can have a
with schedule. We must not include headings with no content. Now we need to output only HTML fragment, no /, no markdown. Let's craft. First, About the role: intro paragraph. Second, Responsibilities: we need to include Position Summary paragraph and then the essential functions list and other duties list? Could combine all duties under Responsibilities. But we have other duties separate list; we could include them as part of Responsibilities as well. However we might want to keep them separate? The instruction says prefer a few substantive sections over many thin ones. So we could combine essential functions and other duties into one Responsibilities section with two lists: maybe separate headings inside? But we cannot add extra headings beyond the allowed ones? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but we should stick to those. We could embed lists directly under Responsibilities. Thus Responsibilities section will have a
for the position summary, then
- for essential functions, then another
- for other duties. That's fine.
Now Requirements: we need education and experience. Could be bullet list.
Education: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
Experience: Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment.
We could combine into bullet list.
Skills: maybe we could include under Requirements as bullet points as well, but we already have skills in experience. Could separate Skills section: Strong organizational and customer service skills, proficiency with Word and Excel, ability to work in high volume fast-paced environment. But that would be thin? Might be okay.
But we already have those in Requirements. To avoid duplication, we can put skills under Requirements as bullet list.
Thus Requirements section will have bullet list covering education, experience, skills.
Now Benefits: bullet list.
Pay:
. Schedule:
. Now ensure we don't include any boilerplate like "Recognized as a Top Healthcare Employer:" we included that under Benefits as bullet list. Now check for duplication: We included Position Summary paragraph under Responsibilities. That includes many duties; we also have essential functions list which repeats some of those duties but more detailed. That's okay; we need to preserve all substantive info. The Position Summary is prose; essential functions list is more detailed. We should not omit any. Now check for any other substantive info: "Recognized as a Top Healthcare Employer: Guthrie is consistently recognized for its strong workplace culture and commitment to caregiver well-being, including: - Best Places to Work 2025 – Modern Healthcare - America's Greatest Workplaces in Healthcare 2025, 2026 – Newsweek - America's Best-In-State Employers (PA) 2025 – Forbes - America's Best Employers for Healthcare Professionals 2025 – Forbes - America's Best Employers for Women 2025 – Forbes". We'll put that as bullet list under Benefits. Now check for any other info: "Why Choose Guthrie:" bullet list includes Voluntary 403(b) Retirement Plan with Fidelity investment options; Employee Assistance Program providing confidential support for personal and professional well-being; PTO starts Day 1; Friendly, inclusive work family where you'll feel valued and supported. We'll include those under Benefits as well. Now check for any other info: "Schedule & Coverage: - Full-Time, Day Shift, Hybrid