As a Billing & Insurance Specialist, you will support the revenue cycle by ensuring accurate claim submission, timely insurance follow-up, and effective resolution of accounts receivable. You will collaborate with Patient Access, Prior Authorization, Revenue Integrity, Coding, Payment Posting, clinical departments, and payer representatives to help secure appropriate reimbursement and reduce account aging.
You will prepare and submit claims, monitor work queues and payer responses, follow up on unpaid or denied claims, research account histories and payer documentation, correct and resubmit claims, and help resolve reimbursement barriers. The role also includes maintaining detailed account records, identifying denial trends, participating in improvement efforts, and communicating professionally with patients, providers, coworkers, and payers.
Required
- High school diploma or equivalent
- Strong analytical and problem-solving skills
- Ability to interpret claim edits, remittance advice, payer correspondence, and account histories
- Excellent verbal and written communication skills
- Strong organizational skills and ability to manage competing priorities and filing deadlines
- Ability to maintain accurate and detailed documentation
- Commitment to confidentiality, compliance, teamwork, service excellence, and financial stewardship
- Ability to work independently and collaboratively
Preferred
- Associate or bachelor's degree in Business, Healthcare, Finance, or a related field
- Certified Revenue Cycle Representative (CRCR)
- One year of healthcare billing, insurance follow-up, patient accounts, or related revenue cycle experience
- Knowledge of claim forms, insurance benefits, denial management, appeal processes, and accounts receivable workflows
- Experience with Epic or a similar healthcare billing system
- Experience with clearinghouse tools, payer portals, and Microsoft Office applications
Benefits
- Medical and dental insurance
- Employer-paid life insurance
- Long-term disability coverage
- Participation in IPERS
- Optional 403(b) retirement plan
- Generous paid time off
- Short-term disability benefits
- Tuition reimbursement
- Continuing education and professional development opportunities
Location
Iowa, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago