Insurance Claims & Denials Specialist

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 payers

• Interpreting insurance remittances, explanations of benefits (EOBs), and adjustment codes (CARC, RARC)

• Navigating insurance portals such as Availity, UHC, and others to facilitate claims resolution

• Communicating with insurance representatives and internal departments to reduce delays in reimbursement

• Recommending process improvements to enhance efficiency in the revenue cycle

• Supporting patients through incoming billing-related phone calls

• Assisting with initial claims submission using Meditech Expanse and SSI clearinghouse systems

This is an on-campus, weekday position (no weekends, holidays, or call required).

QUALIFICATIONS:

Education:

• High school diploma or GED required

• College or vocational training in medical billing preferred

Experience:

• Minimum of 2 years of medical insurance billing experience (hospital setting preferred)

• Experience with Meditech and patient access functions preferred

• Customer service experience required

Knowledge & Skills:

• Strong understanding of current hospital insurance billing regulations and terminology

• Proficient in CPT and ICD-10 coding, claim adjustment codes, and reimbursement processes

• Exceptional communication skills both verbal and written

• Ability to prioritize tasks, manage multiple responsibilities, and work independently or within a team

• Proficiency with computers, Microsoft Office, and 10-key

• Bilingual (English/Spanish) preferred

NMC 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.