Onawa, IA 51040 • (36.9 miles) • Full Time • 8/20/2026

The Billing Specialist is responsible for accurate and timely billing and follow-up of hospital, professional and home health & hospice claims within a Critical Access Hospital. This position performs a variety of revenue cycle functions, including charge review, claim submission, insurance follow-up, payment posting, denial resolution, accounts receivable management, and prior authorization processing. The Billing Specialist works closely with clinical departments, registration, coding, HIM, payers, and patients to ensure claims are accurate, compliant, and reimbursed appropriately. The position requires strong attention to detail, organization, problem solving skills, and the ability to work effectively with multiple payers and departments. Knowledge of healthcare billing, Medicare, Medi