Insurance Billing Specialist

Job description

Description St. Croix Health is looking for a full-time (1.0 FTE) Insurance Billing Specialist to join our team. This position will work Monday through Friday, day hours. This position will work 100% onsite at our St. Croix Falls, WI location during the training period (approximately first 1 - 3 months of employment). Once training is complete, possibility to move to hybrid. Hybrid employees are required to live within a commutable distance from our primary location in St. Croix Falls as on-site workdays, meetings and trainings are required. The Insurance Billing Specialist is responsible for billing medical claims to insurance and ensuring maximum payment and reimbursement of claims. This position resolves clinic and hospital related claim holds, denials and incorrect billing information. They monitor claim status, filing limits, and policies for Medicare, Medicaid and Commercial plan billing practices. This Insurance Billing Specialist is responsible for all billing for St. Croix Regional Medical Center claims to include Rural Health and Critical Access. Essential Duties and Responsibilities: 2. Follow-up on claim denials and follow-up on all unpaid and/or underpaid encounters 3....