Performs daily payment posting, imports remittances, and reconciles payments.
Reviews claim edits to support clean claims and timely submission to payers.
Investigates and corrects insurance denials, works accounts receivable aging, and documents all collection efforts on patient accounts.
Scans documentation into the archiving system and supports billing and insurance processing needs.
Provides customer service to internal and external customers regarding claims, insurance issues, billing questions, denials, and appeals.
Collaborates with team members and other departments to resolve issues, improve processes, and support reimbursement goals.
Complies with corporate compliance policies, applicable laws and regulations, JCAHO standards, confidentiality requirements, and safety procedures.
May be required to train in and float to other areas within the department or provide additional coverage as needed.
Education and Experience
- Medical billing and coding certificate, diploma, or equivalent revenue cycle certification
- Minimum of 1 year of related experience and/or training, or equivalent combination of education and experience
- Preferred knowledge of insurance terminology, reimbursement methodologies, claims processes, and remittance advices
Skills
- Effective communication skills
- Basic computer skills, including email, typing, and spreadsheets
- Ability to collaborate well with others
- Problem-solving skills
- Ability to work independently
Other Qualifications
- Ability to read and interpret documents, create routine reports and correspondence, and speak effectively with customers, patients, families, and staff
Location
Iowa, US
Employment Type
Not specified
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago