Prairie View, Inc.

Insurance Specialist

Prairie View, Inc.  •  Newton, KS (Onsite)  •  18 days ago
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Job Description

Job 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
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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.
Prairie View, Inc.

About Prairie View, Inc.

Prairie View is a regional behavioral,addiction and mental health system offering a continuum of services for children, adolescents, adults and older adults. As the state's longest-serving, non-profit behavioral health care center - and the only faith-based community mental health center - our professional staff takes pride in bringing about restoration through services that combine compassion with dignity and respect.

Prairie View has five outpatient locations in Newton, east and west Wichita, Hillsboro and McPherson, and a network of behavioral health providers throughout Kansas and the Midwest. Prairie View is the community mental health center for Harvey, Marion and McPherson counties.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Newton, KS
Year Founded
1954
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