Patient Accounts & Billing Specialist - The Wellness Center
Indiana Wesleyan University, Marion, IN, United States
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Job no:
495002
Work type:
Hourly (Full Time)
Location:
The Wellness Center
Categories:
Business/Accounting/Finance, Other, Healthcare/Medical/Nursing
Job Title:
Patient Accounts & Billing Specialist
Reporting Relationship:
Health & Wellness Center Manager
Department:
The Wellness Center-IWU Marion
Campus Location:
The Wellness Center, Marion, IN
Summary of Position
The Patient Accounts & Billing Specialist is responsible for basic billing and A/R follow-up including, but not limited to, checking eligibility and benefits, obtaining prior authorizations, reviewing and generating electronic claims, electronic payment posting, following up on unpaid claims and patient balances, and reconciling with daily reports. Accuracy is a priority in this role.
Duties and Responsibilities
Check eligibility and benefits for physical therapy services. Obtain prior authorization, as necessary
Review claims ready for processing to ensure correct rendering and billing providers are identified, verify insurance information, confirm accurate use of modifiers, CPT/HCPCS and ICD-10 linkage, and resolve any claim errors with the objective of achieving a 95% or higher "clean claims" submission rate
Submit all claims electronically to clearinghouse; fax or print and mail secondary claims only when necessary
Review claim submission reports for acceptance by clearinghouse and payers; correct errors as needed and resubmit
Post insurance payments from ERAs and paper EOBs; post patient payments via credit card, in person or mail receipts
Investigate denied claims for possible appeals. Use documentation to support any appealed claim denials
Manage any other requests received from payers
Review all outstanding claims monthly on payer websites for payment status. Follow up on pending A/R greater than 30 days old for Medicare and Medicaid, and 45 days old for all other payers
Document all contact with payers including date, phone numbers, person contacted, check # and amount, and any other pertinent details
Answer patient questions about claims or balances; return patient calls within 24 – 48 hours. Take patient credit card payments over the phone
Assist all providers with CPT, ICD-10 and HCPCS coding questions; forward to Revenue Cycle Director as needed for assistance
Inform management of any payer issues or changes that affect claim payment
Maintain strict confidentiality regarding the practice and patients in accordance with HIPAA guidelines
Follow policies as outlined in the Employee Handbook and Policies and Procedures manuals
Other duties as assigned by management
Qualifications
According to Indiana Wesleyan University employment policy all employees must possess a strong Christian commitment and adhere to the standards outlined in the IWU Community Lifestyle Statement.
Education
High School diploma or GED required
Medical billing or coding certification from the AAPC, AHIMA, PMI or other credentialing body (ex. CPC-Certified Professional Coder; CPB-Certified Professional Biller), preferred
Experience
Two (2) years of medical billing office experience in a health care environment, PT/OT experience a plus, preferred
Required Skills
Knowledge of Internet
Knowledge of CPT, ICD-10-CM and HPCPS coding
Knowledge of electronic medical records and billing software
Skilled with computers, dual monitors, and standard office equipment
Experience with electronic claim submission, payment posting, payer websites, NCCI edits, Medicare LCDs, and Medicaid policies
Experience with checking eligibility and benefits
Knowledge of prior authorization processes and for therapy services
Well organized and detail-oriented
Excellent organizational, communication and time management skills
Ability to multi-task successfully and refocus on tasks quickly
Ability to take initiative and problem solve without direction
Ability to establish and maintain effective working relationships with patients, employees, providers and the public
IWU Kingdom Diversity Statement
IWU, in covenant with God's reconciling work and in accordance with the Biblical principles of our historic Wesleyan tradition, commits to build a community that reflects Kingdom diversity. We will foster an intentional environment for living, teaching and learning, which exhibits honor, respect, and dignity. Acknowledging visible or invisible differences, our community authentically values each member's earthly and eternal worth. We refute ignorance and isolation and embrace deliberate and courageous engagement that exhibits Christ's commandment to love all humankind.
LIMITATIONS AND DISCLAIMER
As a religious educational institution operating under the auspices of The Wesleyan Church, Indiana Wesleyan University is permitted and reserves the right to prefer employees on the basis of religion (42 U.S.C., Sections 2000e-1 and 2000e-2).
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. Employees will be required to follow other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.
Advertised:
23 Apr 2026 US Eastern Daylight Time
Applications close:
24 May 2026 US Eastern Daylight Time
#J-18808-Ljbffr
Job no:
495002
Work type:
Hourly (Full Time)
Location:
The Wellness Center
Categories:
Business/Accounting/Finance, Other, Healthcare/Medical/Nursing
Job Title:
Patient Accounts & Billing Specialist
Reporting Relationship:
Health & Wellness Center Manager
Department:
The Wellness Center-IWU Marion
Campus Location:
The Wellness Center, Marion, IN
Summary of Position
The Patient Accounts & Billing Specialist is responsible for basic billing and A/R follow-up including, but not limited to, checking eligibility and benefits, obtaining prior authorizations, reviewing and generating electronic claims, electronic payment posting, following up on unpaid claims and patient balances, and reconciling with daily reports. Accuracy is a priority in this role.
Duties and Responsibilities
Check eligibility and benefits for physical therapy services. Obtain prior authorization, as necessary
Review claims ready for processing to ensure correct rendering and billing providers are identified, verify insurance information, confirm accurate use of modifiers, CPT/HCPCS and ICD-10 linkage, and resolve any claim errors with the objective of achieving a 95% or higher "clean claims" submission rate
Submit all claims electronically to clearinghouse; fax or print and mail secondary claims only when necessary
Review claim submission reports for acceptance by clearinghouse and payers; correct errors as needed and resubmit
Post insurance payments from ERAs and paper EOBs; post patient payments via credit card, in person or mail receipts
Investigate denied claims for possible appeals. Use documentation to support any appealed claim denials
Manage any other requests received from payers
Review all outstanding claims monthly on payer websites for payment status. Follow up on pending A/R greater than 30 days old for Medicare and Medicaid, and 45 days old for all other payers
Document all contact with payers including date, phone numbers, person contacted, check # and amount, and any other pertinent details
Answer patient questions about claims or balances; return patient calls within 24 – 48 hours. Take patient credit card payments over the phone
Assist all providers with CPT, ICD-10 and HCPCS coding questions; forward to Revenue Cycle Director as needed for assistance
Inform management of any payer issues or changes that affect claim payment
Maintain strict confidentiality regarding the practice and patients in accordance with HIPAA guidelines
Follow policies as outlined in the Employee Handbook and Policies and Procedures manuals
Other duties as assigned by management
Qualifications
According to Indiana Wesleyan University employment policy all employees must possess a strong Christian commitment and adhere to the standards outlined in the IWU Community Lifestyle Statement.
Education
High School diploma or GED required
Medical billing or coding certification from the AAPC, AHIMA, PMI or other credentialing body (ex. CPC-Certified Professional Coder; CPB-Certified Professional Biller), preferred
Experience
Two (2) years of medical billing office experience in a health care environment, PT/OT experience a plus, preferred
Required Skills
Knowledge of Internet
Knowledge of CPT, ICD-10-CM and HPCPS coding
Knowledge of electronic medical records and billing software
Skilled with computers, dual monitors, and standard office equipment
Experience with electronic claim submission, payment posting, payer websites, NCCI edits, Medicare LCDs, and Medicaid policies
Experience with checking eligibility and benefits
Knowledge of prior authorization processes and for therapy services
Well organized and detail-oriented
Excellent organizational, communication and time management skills
Ability to multi-task successfully and refocus on tasks quickly
Ability to take initiative and problem solve without direction
Ability to establish and maintain effective working relationships with patients, employees, providers and the public
IWU Kingdom Diversity Statement
IWU, in covenant with God's reconciling work and in accordance with the Biblical principles of our historic Wesleyan tradition, commits to build a community that reflects Kingdom diversity. We will foster an intentional environment for living, teaching and learning, which exhibits honor, respect, and dignity. Acknowledging visible or invisible differences, our community authentically values each member's earthly and eternal worth. We refute ignorance and isolation and embrace deliberate and courageous engagement that exhibits Christ's commandment to love all humankind.
LIMITATIONS AND DISCLAIMER
As a religious educational institution operating under the auspices of The Wesleyan Church, Indiana Wesleyan University is permitted and reserves the right to prefer employees on the basis of religion (42 U.S.C., Sections 2000e-1 and 2000e-2).
The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position. Employees will be required to follow other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.
Advertised:
23 Apr 2026 US Eastern Daylight Time
Applications close:
24 May 2026 US Eastern Daylight Time
#J-18808-Ljbffr