Insurance Claims ProcessorSouthwest Health, Platteville, WI
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Southwest Health is a non-profit health care system offering residents of southwest Wisconsin a broad span of medical services through its various facilities, including a hospital in Platteville, and Southwest Behavioral Services as well as Epione Pavilion in Cuba City.
We are a model healthcare organization, providing the highest quality care at the lowest possible cost while working to create healthier communities.
We are committed to quality health care. Proof of this committment is our accreditation by the Joint Commission on Accreditation of Health Care Organizations. We've been awarded full accreditation because we strive to provide the best care possible, and we've proven it by meeting the Joint Commissions's standards for high quality care. Our Long Term Care Facility has also successfully completed two consecutive years of deficiency free surveys by the Department of Health and Family Services - Bureau of Quality Assurance.
Our hospital features birthing suites, 24-hour a day emergency services, complete diagnostic services, an out-patient specialty clinic, community health programs, comprehensive rehabilitation services (physical, occupational, speech therapies), and respiratory therapy services to name just a few.
Insurance Claims Processor
- 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
We currently have a full-time position (40 hours/week) working M-F from 8:00am - 4:30pm.
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.
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.
Attn: Human Resources
1400 East Side Rd
Platteville, WI 53818
Phone: (608) 342-0993
Fax: (608) 342-5015
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Paid Sick Leave
|Years of Experience||1-2 Years|