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22Jan

Insurance Claims Processor

Southwest Health, Platteville, WI

Job Title

Insurance Claims Processor

Posting Date

January 22, 2019

Requirements

  • High School diploma, GED, or equivalent
  • Minimum of one to two years of experience with health insurance, collection techniques, or patient registration
  • 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
  • Previous medical billing experience, including knowledge of hospital and professional claim forms, and coding preferred
  • Knowledge of Corporate Compliance issues and HIPPA privacy guidelines helpful

Work Hours

We are seeking a full-time (40 hours/week) Insurance Claims Processor to work days (8:00am-4:30pm).

Job Summary

The Insurance Claims Processor serves as the primary liaison between patients and insurance companies, ensures primary and secondary claims are submitted timely and received by the insurance company, appeals appropriately and works to find root cause of denials, and thinks outside the box to find solutions to payment problems. The Insurance Claims Processor should also be familiar with payer guidelines and rules and be able to train other staff in correct processes by payer, while understanding general contract guidelines by payer. The Insurance Claims Processor analyzes credit balances to ensure accurate and timely refunding to appropriate parties, facilitates timely payment, identifies overdue accounts, takes required actions, and maintains complete and accurate patient accounting records. The Insurance Claims Processor should be familiar with and assist patients in all facility programs designed to help resolve their balance in a timely manner as well as be able to accurately recommend accounts for collections, all while maintaining a high level of customer satisfaction.

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. Visit www.southwesthealth.org to learn what others say about SH.

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 551582
Location
Platteville, WI
Positions 1
Type
Employee
Status
Full Time
Pay --
Categories
Health Care
Shifts
First Shift
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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