Insurance Specialist I – Corporate Patient AR Management

Guthrie

. Submit non-complex electronic and paper claims to insurance payers .

Posted 9/17/2026full-timeBinghamton • New York • United StatesMid-LevelSenior💰 $17 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and coding, including the use of Epic system functions and adherence to insurance payer regulations. Strong organizational skills and customer service abilities are essential for managing claims and ensuring accurate billing processes.

Highest-signal resume keywords

CPC CertificationEpic System FunctionsMedical Billing and CodingInsurance Payer RegulationsSpreadsheet Data Manipulation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingCoding PracticesClaims AnalysisCharge CorrectionsInvoice AdjustmentsHIPAA ComplianceClaims SubmissionPayer GuidelinesPre-AR EditsWorkflow Feedback

Soft Skills

Organizational SkillsCustomer Service Skills

Tools & Technologies

EpicMicrosoft WordMicrosoft Excel

Certifications & Qualifications

CPCCCARHIARHIT

Industry Keywords

Insurance ClaimsBilling InquiriesPatient Health InformationHigh Volume EnvironmentConfidentiality

About the role

Key responsibilities & impact

Submit non-complex electronic and paper claims to insurance payers
Coordinate information for secondary and tertiary claims reviews
Analyze claims for accurate and compatible diagnosis and procedure codes
Make charge corrections and follow up with appropriate parties to ensure billing invoices are correct
Follow up with payers on unresponded, rejected, and denied claims
Work denied claims according to coding and payer guidelines, resulting in appeals or charge corrections
Collaborate with Insurance Billing Specialist II and Denial Resolution staff on projects, complex billing issues, cross-training, and payer tasks
Respond to questions from insurance companies, government agencies, and Guthrie Medical Group offices
Partner with CRC and other Guthrie departments on billing inquiries
Respond to insurance carrier correspondence and requests for supporting documentation
Work pre-AR edits, paper claims, reports, and work queues for accurate and timely claim submission
Provide backup to Central Charge Entry and Cash Applications, including entering charges and posting/distributing payments
Report payer, system, or billing issues
Use Epic functions for charge corrections, invoice inquiries, billing edits, and insurance eligibility
Export and prepare spreadsheets for project work
Resolve credit balances and request/document invoice adjustments within policy guidelines
Provide workflow feedback, answer calls and correspondence, document actions, and complete assigned projects

Requirements

What you’ll need

High school diploma required
CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associate degree preferred
Strong organizational and customer service skills
Experience with office software such as Word and Excel required
Previous experience performing in a high volume and fast paced environment
Ability to maintain strict confidentiality related to patient health information in accordance with HIPAA regulations
Knowledge of insurance payer regulations, guidelines, and coding practices
Ability to use Epic system functions accurately
Ability to manipulate spreadsheet data fields

Benefits

Comp & perks

Voluntary 403(b) Retirement Plan with Fidelity investment options
Employee Assistance Program providing confidential support for personal and professional well-being
PTO starts Day 1
Hybrid work schedule after orientation period
Friendly, inclusive work family where you'll feel valued and supported