Insurance Specialist

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    "description": "<div>\n<h2>About the Role</h2>\n\n<p>Are you detail-oriented, analytical, and passionate about supporting a smooth healthcare operation? We are looking for a <strong>Patient Accounts &amp; Billing Specialist</strong> 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.</p>\n\n<p>If you thrive in a collaborative environment, value accuracy, and love solving puzzles inside spreadsheets and billing platforms, we want to hear from you!</p>\n\n<h2>Key Responsibilities</h2>\n\n<h3>1. Claiming &amp; Billing Accuracy</h3>\n\n<ul>\n\t<li>\n\t<p>Collaborate with third-party billing vendors, internal teams, and Patient Account Specialists to gather missing or corrected information required for billing, statements, and reimbursement.</p>\n\t</li>\n\t<li>\n\t<p>Support special projects aimed at optimizing billing workflows, maximizing reimbursement, and ensuring claims are paid timely and correctly.</p>\n\t</li>\n</ul>\n\n<h3>2. Insurance Correspondence &amp; Collections</h3>\n\n<ul>\n\t<li>\n\t<p>Proactively follow up on outstanding claims with vendors and internal teammates to facilitate timely payments.</p>\n\t</li>\n\t<li>\n\t<p>Manage insurance correspondence: process denials, apply appropriate discounts or refunds, and coordinate with Financial Counselors and Medical Records for required documentation.</p>\n\t</li>\n\t<li>\n\t<p>Act as a resource for Patient Account Specialists regarding insurance eligibility, coverage details, and payment discrepancies.</p>\n\t</li>\n</ul>\n\n<h3>3. Payment Posting</h3>\n\n<ul>\n\t<li>\n\t<p>Accurately post assigned payments from insurance companies, third-party funding sources, contracts, and self-pay accounts.</p>\n\t</li>\n\t<li>\n\t<p>Identify and communicate any insurance eligibility changes or specific denial trends to Patient Account Specialists.</p>\n\t</li>\n</ul>\n\n<h3>4. Systems &amp; Platforms</h3>\n\n<ul>\n\t<li>\n\t<p>Navigate and interpret account ledgers to accurately post charges, payments, and corrections within <strong>MyAvatar</strong>.</p>\n\t</li>\n\t<li>\n\t<p>Utilize various healthcare websites and clearinghouses, including <strong>Waystar, Availity, WPS/GHA, KMAP</strong>, and secure SFTP portals.</p>\n\t</li>\n\t<li>\n\t<p>Efficiently organize, track, and work accounts, payments, and claims using <strong>Excel spreadsheets</strong>.</p>\n\t</li>\n</ul>\n\n<h3>5. Professional Development &amp; Team Collaboration</h3>\n\n<ul>\n\t<li>\n\t<p>Actively participate in staff meetings and collaborate with your supervisor to build a personalized professional development plan.</p>\n\t</li>\n\t<li>\n\t<p>Attend workshops, continuing education activities, and required in-service training to sharpen your billing expertise.</p>\n\t</li>\n\t<li>\n\t<p>Complete assigned training modules via the <strong>Relias Learning</strong> platform to maintain compliance and enhance your skill set.</p>\n\t</li>\n\t<li>\n\t<p>Maintain flexibility, accuracy, and a standard of excellence as department needs evolve, always bringing a team-oriented, cooperative attitude to the workplace.</p>\n\t</li>\n</ul>\n\n<h2>Qualifications &amp; Skills</h2>\n\n<ul>\n\t<li>\n\t<p><strong>Experience:</strong> Previous experience in medical billing, healthcare accounts receivable, or insurance collections is highly preferred.</p>\n\t</li>\n\t<li>\n\t<p><strong>Technical Savvy:</strong> Proficiency with electronic health records/billing systems (experience with <em>MyAvatar, Waystar, Availity, or KMAP</em> is a major plus) and strong familiarity with Microsoft Excel.</p>\n\t</li>\n\t<li>\n\t<p><strong>Core Competencies:</strong> High attention to detail, strong problem-solving skills, dependability, and the ability to read and interpret financial ledgers.</p>\n\t</li>\n\t<li>\n\t<p><strong>Communication:</strong> Excellent verbal and written communication skills for working with internal departments, external vendors, and insurance representatives.</p>\n\t</li>\n</ul>\n\n<h2>Why Join Us?</h2>\n\n<p>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.</p>\n\n<p><strong>To Apply:</strong> Please submit your resume and cover letter detailing your relevant billing experience.</p>\n</div>\n",
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