BILLING & DENIALS SPECIALIST I - CENTRAL BILLING OFFICE
: Job Details :


BILLING & DENIALS SPECIALIST I - CENTRAL BILLING OFFICE

Aspirus Health

Job Location : Wausau,WI, USA

Posted on : 2024-12-09T20:20:21Z

Job Description :
Compassion. Accountability. Collaboration. Foresight. Joy.These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.Aspirus Health in Wausau, WI is seeking a BILLING & DENIALS SPECIALIST I to join our team!The Billing and Denial Specialist I is responsible for following up claims with no response from payers, working and managing insurance denials, managing, writing, and carrying out the appeal process for all payers. Is responsible for the submission of clean claims to all third-party payers for all hospital and professional services. HOURS: Full Time 1.0 FTE, 80 Hours BiweeklyExperience/Qualifications
  • Associate degree in business, accounting, healthcare, or a related field or equivalent work experience preferred.
  • High school diploma, or GED required.
  • Two to three years of related work experience in a healthcare billing department strongly desired.
  • Two to three years related work experience with an electronic health record strongly desired. Epic preferred.
  • Understands and applies insurance billing, governmental regulations, and managed care requirements, as applicable, to the billing process.
  • Understands state and federal mandated coverages, health insurance terms, definitions, and concepts, as well as auto and other liability terms, definitions, and concepts.
  • Understands state law governing privacy, utilizing compliance protocol and refers to policy and procedure manual when dealing with specific issues.
  • Basic CPT and ICD10- coding knowledge desired.
  • Demonstrates professionalism with good verbal and written communication skills.
  • Ability to prioritize and work independently.
  • Attention to detail, accuracy, and timeliness in all work products.
Employee Benefits
  • Full benefits packages available for part- and full-time status.
  • PTO accrual from day one!
  • Generous retirement plan with match available.
  • Wellness program for employees and their families.
Aspirus Wausau Hospital is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan. It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties. Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. To learn more about Wausau click the following link: Wausau, Wisconsin Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women's health, and spine and neurological care.Our Mission: We heal people, promote health and strengthen communities.Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 19 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.Click here to learn more.Credentials:
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