Business Office Insurance Specialist

Business Office Insurance Specialist

The Business Office Insurance Specialist is responsible for managing insurance claims and ensuring timely reimbursement for services provided in inpatient, outpatient, and clinical contexts. This role involves monitoring patient charge work queues, resolving discrepancies, processing claims, posting charges, and resolving any other issues related to insurance payments. This role also involves preparing and processing work comp and third-party liability claims and follow payments.

The specialist will work closely with their colleagues in the Business Office, patients, insurance companies, and other hospital departments to facilitate smooth billing operations.

• Employment Type: Full Time
• Location: Orange City Area Health System Main Campus 1000 Lincoln Circle SE Orange City, IA 51041
• Education Requirements: Associate's degree in healthcare, business, or related field required. Certified Professional Biller (CPB), Certified Professional Coder (CPC) or similar certification preferred.
• Experience Requirements: 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, and proficiency in medical billing software. Experience with EPIC is preferred.
• Other: Monday - Friday. 40 hours/week.
• Benefit Package:
  • IPERS (Retirement Package)
  • Paid Time Off
  • Health Insurance
  • Life Insurance
  • Dental & Vision Insurance

Orange City Area Health System is an equal opportunity employer.

Please contact our HR Department at orangecityhrdept for additional information.