Insurance Claims & Denials Specialist

Insurance Claims & Denials Specialist (Part Time) Location: Surgery Center - 800 Medical Center Drive ~ Newton, KS 67114 Category: PATIENT FINANCIAL SERVICES Are you ready to make a meaningful impact as part of a collaborative, service-oriented healthcare team? At NMC Health, were proud to deliver award-winning care with a focus on excellence, respect, and teamwork throughout the Wichita Metro Area. We are currently seeking an Insurance Biller to join our fast-paced, team-oriented Central Billing Office . In this role, you will play a key part in the revenue cycle process by managing claim follow-up and denial resolution for hospital billing. The ideal candidate is detail-oriented, organized, and thrives in a collaborative environment with strong communication and analytical skills. Key responsibilities include: Investigating and resolving unpaid claims and denials with third-party payersInterpreting insurance remittances, explanations of benefits (EOBs), and adjustment codes (CARC, RARC)Navigating insurance portals such as Availity, UHC, and others to facilitate claims resolutionCommunicating with insurance representatives and internal departments to reduce delays in reimbursementRecommending process improvements to enhance efficiency in the revenue cycleSupporting patients through incoming billing-related phone callsAssisting with initial claims submission using Meditech Expanse and SSI clearinghouse systemsThis is an on-campus, weekday position (no weekends, holidays, or call required). QUALIFICATIONS: Education: High school diploma or GED requiredCollege or vocational training in medical billing preferredExperience: Minimum of 2 years of medical insurance billing experience (hospital setting preferred)Experience with Meditech and patient access functions preferredCustomer service experience requiredKnowledge & Skills: Strong understanding of current hospital insurance billing regulations and terminologyProficient in CPT and ICD-10 coding, claim adjustment codes, and reimbursement processesExceptional communication skills both verbal and writtenAbility to prioritize tasks, manage multiple responsibilities, and work independently or within a teamProficiency with computers, Microsoft Office, and 10-keyBilingual (English/Spanish) preferredNMC Health offers competitive pay, valuable benefits, and a supportive, team-oriented work environment. Join our Team! NMC Health offers a family friendly environment with the latest technology and a knowledgeable staff. Here you'll find all departments work together as a team to live out our core values: respect, excellence, service, transparency, and trust.