Insurance Billing Specialist, Full Time

Holland Hospital

Insurance Billing Specialist for Holland Hospital providing customer service and managing electronic billing systems. Focusing on insurance claims submission and compliance with regulations.

Posted 5/6/2026full-timeHolland • Missouri • 🇺🇸 United StatesMid-LevelSenior💰 $16 - $23 per hourWebsite

About the role

Key responsibilities & impact

Provide exemplary customer service.
Works daily electronic billing system (Cerner & nThrive) and submits insurance claims to third-party payers; reviews daily claim edits from the hospital billing system and makes necessary corrections to allow electronic submission.
Assessing and analyzing claim edits daily within the billing system leading to a resolution within 24-48 hours.
Maintains a thorough understanding of federal and state regulations as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries in order to promote compliant claims submission practices for governmental claims.
Communicates any edits that may need joint resolution with external departments.
Prepares and submits manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
Resubmission of claims that may need corrections.
Verify that claims have been received by the appropriate payer.
Investigate and resolve any issues in regards to claim transmission.
Mail/Fax/Email paper claims to the appropriate payer the day they are generated.
Performs effective, timely and efficient follow-up on all outstanding debit and credit balances within the expected time period.
Review and analyze outstanding debit and credit balances to determine appropriate follow-up.
Contributes innovatively to the success of our department and is compliant in all patient and billing aspects.
Maintains a base-line understanding of federal and state regulations, as well as specific payer requirements and explanation of benefits to ensure compliance.
Effectively handles communications, including email, telephone and instant message, from payers and departments within and outside of the department.
Understands and maintains compliance with HIPAA guidelines when handling patient information.
Reviews, processes, and resolves all incoming patient and insurance correspondence within one business day.
Reviews and prepares responses to correspondence from patients and insurance carriers within a reasonable time frame.
Responds to formal communication, both external and internal, within a reasonable time frame.
Documents all activity taken within an encounter in the billing system.
Clear and concise messaging.
Responsible for making and documenting timely phone calls to insurance in regards to billing matters within the billing system.
Provides updates to existing policies and procedures as needed and proposes new.
Communicates with staff routinely and effectively using all forms of communication.
Builds relationships and fosters positive communication with applicable departments outside of PFS.
Documents all activity - each time an account is touched - in the notes section of the AR Host I.S. System, at the account level, appropriately, timely, compliantly and thoroughly.
Stays current on healthcare regulations.
Attends training sessions, internal and external.
Performs other related duties as assigned.

Requirements

What you’ll need

High school diploma/GED or higher education

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Holland Hospital Website LinkedIn All Job Openings 1001 - 5000 employees Founded 1917 Find your perfect fit at hollandhospital.org/careers and you'll also find an award-winning culture and teams ready to help you succeed. Our dedicated employees and medical staff work together to provide exceptional care and service to all who enter our doors. For 21 consecutive years, Holland Hospital has been named one of West Michigan's Best & Brightest Places to Work--longer than any other health care organization in Michigan. Insurance Billing Specialist, Full Time 🔥 19 minutes ago 🏢🏡 Holland – Hybrid 💵 $16 - $22 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 📊 Billing Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Provide exemplary customer service.
Works daily electronic billing system (Cerner & nThrive) and submits insurance claims to third-party payers; reviews daily claim edits from the hospital billing system and makes necessary corrections to allow electronic submission.
Assessing and analyzing claim edits daily within the billing system leading to a resolution within 24-48 hours.
Maintains a thorough understanding of federal and state regulations as well as requirements specific to Medicare, Medicaid, and fiscal intermediaries in order to promote compliant claims submission practices for governmental claims.
Communicates any edits that may need joint resolution with external departments.
Prepares and submits manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
Resubmission of claims that may need corrections.
Verify that claims have been received by the appropriate payer.
Investigate and resolve any issues in regards to claim transmission.
Mail/Fax/Email paper claims to the appropriate payer the day they are generated.
Performs effective, timely and efficient follow-up on all outstanding debit and credit balances within the expected time period.
Review and analyze outstanding debit and credit balances to determine appropriate follow-up.
Contributes innovatively to the success of our department and is compliant in all patient and billing aspects.
Maintains a base-line understanding of federal and state regulations, as well as specific payer requirements and explanation of benefits to ensure compliance.
Effectively handles communications, including email, telephone and instant message, from payers and departments within and outside of the department.
Understands and maintains compliance with HIPAA guidelines when handling patient information.
Reviews, processes, and resolves all incoming patient and insurance correspondence within one business day.
Reviews and prepares responses to correspondence from patients and insurance carriers within a reasonable time frame.
Responds to formal communication, both external and internal, within a reasonable time frame.
Documents all activity taken within an encounter in the billing system.
Clear and concise messaging.
Responsible for making and documenting timely phone calls to insurance in regards to billing matters within the billing system.
Provides updates to existing policies and procedures as needed and proposes new.
Communicates with staff routinely and effectively using all forms of communication.
Builds relationships and fosters positive communication with applicable departments outside of PFS.
Documents all activity - each time an account is touched - in the notes section of the AR Host I.S. System, at the account level, appropriately, timely, compliantly and thoroughly.
Stays current on healthcare regulations.
Attends training sessions, internal and external.
Performs other related duties as assigned. 🎯 Requirements
High school diploma/GED or higher education Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Applicant Tracking System Keywords

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Hard Skills & Tools

electronic billinginsurance claims submissionclaim edits analysismanual claims processingclaims resubmissiondebit and credit balance reviewpatient correspondence processingdocumentation in billing systemHIPAA compliancehealthcare regulations

Soft Skills

customer serviceeffective communicationproblem-solvingtimely follow-uprelationship buildinginnovative contributionclear messagingorganizational skillscollaborationattention to detail