Insurance Specialist

Job DetailsJob Location: Newton, KS 67114
About the Role

Are you detail-oriented, analytical, and passionate about supporting a smooth healthcare operation? We are looking for a Patient Accounts & Billing Specialist to join our team in Newton, KS. In this role, you will play a crucial part in our financial health by managing the end-to-end medical billing, claiming, and collections process. You will work closely with internal teams, third-party vendors, and insurance companies to ensure accurate reimbursement while contributing to a supportive, positive work culture.

If you thrive in a collaborative environment, value accuracy, and love solving puzzles inside spreadsheets and billing platforms, we want to hear from you!

Key Responsibilities

1. Claiming & Billing Accuracy

Collaborate with third-party billing vendors, internal teams, and Patient Account Specialists to gather missing or corrected information required for billing, statements, and reimbursement.

Support special projects aimed at optimizing billing workflows, maximizing reimbursement, and ensuring claims are paid timely and correctly.

2. Insurance Correspondence & Collections

Proactively follow up on outstanding claims with vendors and internal teammates to facilitate timely payments.

Manage insurance correspondence: process denials, apply appropriate discounts or refunds, and coordinate with Financial Counselors and Medical Records for required documentation.

Act as a resource for Patient Account Specialists regarding insurance eligibility, coverage details, and payment discrepancies.

3. Payment Posting

Accurately post assigned payments from insurance companies, third-party funding sources, contracts, and self-pay accounts.

Identify and communicate any insurance eligibility changes or specific denial trends to Patient Account Specialists.

4. Systems & Platforms

Navigate and interpret account ledgers to accurately post charges, payments, and corrections within MyAvatar.

Utilize various healthcare websites and clearinghouses, including Waystar, Availity, WPS/GHA, KMAP, and secure SFTP portals.

Efficiently organize, track, and work accounts, payments, and claims using Excel spreadsheets.

5. Professional Development & Team Collaboration

Actively participate in staff meetings and collaborate with your supervisor to build a personalized professional development plan.

Attend workshops, continuing education activities, and required in-service training to sharpen your billing expertise.

Complete assigned training modules via the Relias Learning platform to maintain compliance and enhance your skill set.

Maintain flexibility, accuracy, and a standard of excellence as department needs evolve, always bringing a team-oriented, cooperative attitude to the workplace.

Qualifications & Skills

Experience: Previous experience in medical billing, healthcare accounts receivable, or insurance collections is highly preferred.

Technical Savvy: Proficiency with electronic health records/billing systems (experience with MyAvatar, Waystar, Availity, or KMAP is a major plus) and strong familiarity with Microsoft Excel.

Core Competencies: High attention to detail, strong problem-solving skills, dependability, and the ability to read and interpret financial ledgers.

Communication: Excellent verbal and written communication skills for working with internal departments, external vendors, and insurance representatives.

Why Join Us?

We believe that a positive work environment starts with our people. We offer a supportive team structure, opportunities for continuing education and professional growth, and the chance to make a meaningful impact on healthcare delivery right here in Newton.

To Apply: Please submit your resume and cover letter detailing your relevant billing experience.