Insurance Specialist

## Description

## 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.