Insurance Specialist
About the Role
Are you detail-oriented, analytical, and passionate about supporting a smooth healthcare operation? We are looking for a Patient Accounts & Billing Specialist to join our team in Newton, KS. In this role, you will play a crucial part in our financial health by managing the end-to-end medical billing, claiming, and collections process. You will work closely with internal teams, third-party vendors, and insurance companies to ensure accurate reimbursement while contributing to a supportive, positive work culture.
If you thrive in a collaborative environment, value accuracy, and love solving puzzles inside spreadsheets and billing platforms, we want to hear from you!
Key Responsibilities
1. Claiming & Billing Accuracy
-
Collaborate with third-party billing vendors, internal teams, and Patient Account Specialists to gather missing or corrected information required for billing, statements, and reimbursement.
-
Support special projects aimed at optimizing billing workflows, maximizing reimbursement, and ensuring claims are paid timely and correctly.
2. Insurance Correspondence & Collections
-
Proactively follow up on outstanding claims with vendors and internal teammates to facilitate timely payments.
-
Manage insurance correspondence: process denials, apply appropriate discounts or refunds, and coordinate with Financial Counselors and Medical Records for required documentation.
-
Act as a resource for Patient Account Specialists regarding insurance eligibility, coverage details, and payment discrepancies.
3. Payment Posting
-
Accurately post assigned payments from insurance companies, third-party funding sources, contracts, and self-pay accounts.
-
Identify and communicate any insurance eligibility changes or specific denial trends to Patient Account Specialists.
4. Systems & Platforms
-
Navigate and interpret account ledgers to accurately post charges, payments, and corrections within MyAvatar.
-
Utilize various healthcare websites and clearinghouses, including Waystar, Availity, WPS/GHA, KMAP, and secure SFTP portals.
-
Efficiently organize, track, and work accounts, payments, and claims using Excel spreadsheets.
5. Professional Development & Team Collaboration
-
Actively participate in staff meetings and collaborate with your supervisor to build a personalized professional development plan.
-
Attend workshops, continuing education activities, and required in-service training to sharpen your billing expertise.
-
Complete assigned training modules via the Relias Learning platform to maintain compliance and enhance your skill set.
-
Maintain flexibility, accuracy, and a standard of excellence as department needs evolve, always bringing a team-oriented, cooperative attitude to the workplace.
Qualifications & Skills
-
Experience: Previous experience in medical billing, healthcare accounts receivable, or insurance collections is highly preferred.
-
Technical Savvy: Proficiency with electronic health records/billing systems (experience with MyAvatar, Waystar, Availity, or KMAP is a major plus) and strong familiarity with Microsoft Excel.
-
Core Competencies: High attention to detail, strong problem-solving skills, dependability, and the ability to read and interpret financial ledgers.
-
Communication: Excellent verbal and written communication skills for working with internal departments, external vendors, and insurance representatives.
Why Join Us?
We believe that a positive work environment starts with our people. We offer a supportive team structure, opportunities for continuing education and professional growth, and the chance to make a meaningful impact on healthcare delivery right here in Newton.
To Apply: Please submit your resume and cover letter detailing your relevant billing experience.