Insurance Specialist II – Corporate Patient AR Management

Guthrie

. Serve as a group leader and resource specialist within the department .

Posted 9/17/2026full-timeBinghamton • New York • United StatesMid-LevelSenior💰 $18 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in insurance billing and coding, including proficiency in CPT and ICD-10 coding, while ensuring compliance with HIPAA regulations. Capable of leading teams, training staff, and optimizing billing processes to enhance operational efficiency.

Highest-signal resume keywords

CPC CertificationInsurance Billing ExperienceEpic System ProficiencyMedical Terminology KnowledgeCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingInsurance BillingData AnalysisClaims ProcessingAppeals PreparationAccounts Receivable ManagementReport GenerationDenial ManagementWorkflow Optimization

Soft Skills

Organizational SkillsSelf-MotivationTeam CollaborationProblem-SolvingCommunication Skills

Tools & Technologies

Epic System

Certifications & Qualifications

CPCCCARHIARHIT

Industry Keywords

HIPAA ComplianceInsurance RegulationsPatient Health InformationHigh-Volume EnvironmentBilling Protocols

About the role

Key responsibilities & impact

Serve as a group leader and resource specialist within the department
Participate in staffing and employment issues
Train Insurance Billing Specialists I and related support staff
Work with the Director, Manager, Supervisor, and Application Analyst on daily priorities and unit integrity
Complete complex insurance billings and appeals
Review insurance processing procedures and recommend streamlined processes
Prepare required and requested reports
Work with insurance payers on problem claims and processes
Resolve outstanding Accounts Receivable and credit balances
Identify and evaluate denials, determine issues and patterns, and participate in Denial Task Forces
Export data, prepare spreadsheets, and create and run reports for outstanding claims
Analyze complex billing problems, prepare appeals, challenge payer policies, and pursue appeal turnover
Develop and train internal rejection protocols
Audit and educate staff on protocol adherence
Report payer, system, or billing issues and recommend resolutions
Resolve credit balances and assist with annual escheatment documentation
Lead payer-specific external claim audit activity with management, compliance, medical records, and clinical operations
Route work assignments and participate in employment issues
Review requested adjustments and approve low-dollar adjustments within policy; gather documentation for high-dollar adjustments
Test and monitor new system logic or processes
Answer phone calls and correspondence regarding account balances
Provide workflow feedback to promote efficiency
Use Epic functions for charge corrections, invoice inquiry, credits, charge review, claim edits, and 277 rejections
Demonstrate excellent customer service and promote it within the team
Complete projects and other assigned duties

Requirements

What you’ll need

High school diploma or equivalency required
CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred
Minimum 3 years experience in insurance billing or CPC certified
Current competencies applicable to the job
Proven experience performing required tasks independently while contributing to the team environment
Knowledge of medical terminology, CPT and ICD-10 coding, and insurance regulations
Strong organizational and customer service skills
Experience in a high-volume and fast-paced environment
Self-motivation to develop and maintain job knowledge and skills
Ability to maintain confidentiality of patient health information in accordance with HIPAA compliance
Ability to utilize Epic system functions accurately

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