Insurance Billing Specialist - Remote

Overview

St. Croix Health is looking for a full-time Insurance Billing Specialist to join our team. This position will work Monday through Friday, day hours, and will initially be 100% onsite at our St. Croix Falls, WI location during the training period. Once training is complete, the position will move to remote with occasional onsite meetings.

In Short

• Process insurance claims and ensure appropriate processing.
• Follow-up on unpaid claims and underpaid encounters.
• Assist patients with billing questions and concerns.
• Knowledge of insurance billing both UB04/837 I and HCFA 1500/837P claims processing.
• Experience in a healthcare business office preferred.
• High school graduate required; associates degree preferred.
• Excellent communication skills necessary.
• Self-motivated and adaptable to change.
• Knowledge of Medicare, Medicaid, and private payer billing rules.
• Benefits include health insurance, retirement program, and paid time off.

Requirements

• High school graduate required; associates degree preferred.
• 1-2 years of billing or charge entry experience in healthcare preferred.
• Experience with electronic medical records and billing systems.
• Basic computer skills, including Microsoft Office.
• Ability to assess and prioritize workload.
• Excellent interpersonal, verbal, and written communication skills.
• Knowledge of insurance explanation of benefits.
• Ability to work with insurance providers and member services.
• Knowledge of appeal process by payer.
• Ability to interpret payer remittance advices.

Benefits

• Health, vision, and dental insurance.
• 403b retirement program with employer match.
• Paid time off.
• Short-term and long-term disability options.
• Education reimbursement.
• Employee assistance program (EAP).
• Wellbeing incentive program.
• Free parking.
• Employee prescription discount program.