Insurance Specialist - Spencer Hospital

Posted 5 Days Ago
Be an Early Applicant
Spencer, IA, USA
In-Office
Entry level
Healthtech • Professional Services
The Role
Processes hospital insurance claims for commercial payors, Medicare, Medicaid, and other government programs. Submits electronic and paper claims, handles resubmissions, responds to claim-related inquiries, contacts payors, and audits registration and admission information for accuracy, missing details, and authorizations. The role also requires knowledge of payer regulations and medical terminology, strong organization, communication skills, and teamwork.
Summary Generated by Built In

Location:

Spencer, IA

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.

Position Highlights

Spencer Hospital is a rural hospital located in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital. ​


Responsibilities:

  • Calling payors for payment 
  • Performs routine duties in conjunction with processing all third party insurance, Medicare, Medicaid and other government assisted programs.
  • Clerks will have a good working knowledge of all payer regulations for submitting claims.
  • Billing clerk will send claims either electronically or hard copy depending on the type of claim being processed.
  • Handles day to day requests for insurance resubmits.
  • Answers phone calls and correspondence relating to the claim.
  • Audits the admission/registration information to ensure accuracy prior to billing and check for missing or incorrect information or authorizations

Requirements:

  • Previous hospital and/or clinic billing experience preferred
  • Knowledge of medical and insurance terminology
  • Experience with EPIC is a plus
  • Must have excellent communication skills, caring attitude and be a team player
  • Strong organizational skills are required
  • HS diploma or equivalent required

Schedule:

  • 80 hrs per pay period
  • M-F; 8a-4:30pm
  • The schedule may fluctuate based upon needs of the department

Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, family gym membership and so much more!


Please contact Spencer Hospital Human Resources for any questions at 712.264.6205 or email [email protected].

Skills Required

  • High school diploma or equivalent
  • Excellent communication skills
  • Caring attitude and ability to work as part of a team
  • Strong organizational skills
  • Knowledge of medical and insurance terminology
  • Previous hospital and/or clinic billing experience
  • Experience with EPIC
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The Company
22,600 Employees
Year Founded: 2000

What We Do

Avera Health is a regional, non-profit health system based in Sioux Falls, South Dakota, providing integrated medical care through hospitals, clinics, and community support across a five-state region.

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