Billing and Insurance Specialist Patient Financial Services

Billing and Insurance Specialist – Patient Financial Services

Full‑time, 40 hours per week (Monday – Friday 8:00 a.m. – 4:30 p.m.).

Hourly rate: $18.89 per hour. Minimum Hiring Wage:
From $18.89 per hour.

Coordinates and assists in the reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carriers. Resolves discrepancies in accounting records, verifies accuracy of all billing data, corrects identified errors, and handles electronic billing functions.

• Prepare insurance claim forms and related documents and review them for accuracy and completeness.
• Follow‑up on rejected, unpaid, and denied claims until claims are paid or a self‑pay balance remains.
• Investigate and resolve any 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.

• H.S. Diploma or GED required.
• 1–3 years of experience working with computers.
• 1–3 years of customer‑service experience (preferred).
• 1–3 years of general office or clerical experience (preferred).
• Knowledge of customer‑service principles and procedures.
• Knowledge of administrative and clerical procedures and systems.
• Working knowledge of Microsoft Office (Word, Excel, Outlook) preferred.
• Proficient with electronic equipment and computer applications.
• Excellent time‑management and organizational skills.
• Problem‑solving skills.
• Effective written and verbal communication skills; ability to read, write, and understand English.
• Ability to maintain confidentiality and discretion.
• 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, hospital indemnity).

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