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20Sep

Insurance Claims Processor

Southwest Health, Platteville, WI

Job Title

Insurance Claims Processor

Requirements

  • High school diploma or GED required
  • 1 to 2 years' experience with health insurance, collection techniques, or patient registration required
  • Proficiency with Microsoft Excel including the ability to create daily and monthly logs and summary reports, insert simple formulas and manipulate the design and appearance of worksheets required
  • Previous medical billing experience, including knowledge of hospital and professional claim forms, and coding preferred
  • Working knowledge of commercial/government claims preferred
  • Understanding of medical terminology preferred
  • Previous experience with 10 key calculators preferred
  • Knowledge of HIPAA privacy guidelines helpful

Work Hours

We currently have a full-time position (40 hours/week) working M-F from 8:00am - 4:30pm.

Job Summary

The Insurance Claims Processor serves as the primary liaison between patients and insurance companies. Submits claims and follows-up on third party insurance denials and underpayments in a timely manner. Appeals appropriately and works to find root cause of denials.  Thinks outside of the box to find solutions to payment problems.  Is familiar with payer guidelines and rules and is able to train other staff in correct practices by payer.  Understands general contract guidelines by payer. Maintains high level of customer satisfaction. Analyzes credit balances to ensure accurate and timely refunding to appropriate parties.

We believe that together we can change lives, and we anticipate your life will change in the process. If you aspire to help others find hope and live better, we invite you to submit your application to www.southwesthealth.org.

Benefits

SH is truly an outstanding place to work. A full benefit package is available for employees working 20 hours/week or greater which includes: Health, Dental, Vision and Life insurance. Also available are long and short term disability, cell phone discount, flexible spending plan, paid time off, retirement plan with an employer contribution, fitness membership discount as well as use of exercise equipment at the facility.

Contact Info

Southwest Health
Attn: Human Resources
1400 East Side Rd
Platteville, WI 53818
Phone: (608) 342-0993
Email: hr@southwesthealth.org
Fax: (608) 342-5015

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Job Details

Req Num --
ID 395432
Location
Platteville, WI
Positions 1
Type
Employee
Status
Full Time
Pay --
Categories
Health Care
Insurance
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
Paid Holidays
Tuition Reimbursement

Preferred Candidates

Years of Experience 1-2 Years
Education High School/GED

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