Billing & Insurance Specialist | 40 hours per week | Patient Financial Services HCHC

Job Overview

Minimum hiring wage:
From $18.89 per hour. Schedule hours:
Monday – Friday, Day Shift.

Coordinates and assists in the reimbursement for services provided. Accurately files insurance claims for settlement with carriers. Resolves discrepancies in accounting records, resolves credits, verifies billing data accuracy, and corrects identified errors.

Handles electronic billing functions, including electronically filing claims and maintaining the filing system. Prepares itemized statements, bills, or invoices; records amounts due. Keeps records of supporting documents. Contacts patients to obtain or relay account information. Collects information from policyholders to verify accuracy on claim forms, company records, and related documents. Updates existing policies and company records to reflect requested changes. Follows-up on outstanding accounts, making proper notations in the billing software.

Works denials, follows appeal processes, and refile claims through to completion. Investigates and resolves billing discrepancies or insurance‑related issues, working closely with providers, patients, and internal teams. Maintains knowledge of current government and/or carrier regulations. Performs data entry, adding, calculating, and operating computers, equipment, and billing software.

• Prepare insurance claim forms and related documents and review them for accuracy and completeness.
• Follow up on rejected, unpaid, and denied claims until payment or self‑pay balance remains.
• Investigate and resolve billing discrepancies or insurance‑related issues, working closely with insurance providers, patients, and internal teams.
• Reconcile accounts and maintain accurate balances.
• Perform AR follow‑up on aging accounts.
• Transmit claims for payment or further investigation.
• Contact insured or other involved persons to obtain missing information or resolve billing issues.
• Review insurance policy to determine coverage.
• Research payer websites, using computers to enter, access, search, and retrieve data.
• Provide customer service, such as assisting with inquiries and billing requests.
• Monitor for missing information, authorization/control numbers.

• High School Diploma or GED.
• 1–3 years experience working with computers.
• 1–3 years customer service experience.
• 1–3 years general office or clerical experience.
• Knowledge of principles and processes for providing customer service, including customer needs assessment and evaluation of satisfaction.
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Excellent time management and organizational skills.
• Problem‑solving skills.
• Strong written and verbal communication skills, with the ability to document information accurately and maintain confidentiality.
• Arithmetic knowledge.

• Competitive base pay.
• Matching retirement program.
• Health, dental, and vision plans.
• Health Savings Account and Flexible Spending Account.
• Employee discounts (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 (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.