Medical Insurance Follow Up – Revenue Cycle Representative (Full-Time)

Medical Insurance Follow Up – Revenue Cycle Representative (Full-Time)

Clerical West Des Moines, Iowa

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Description

Looking for a career where you love what you do and who you do it with? You’re in the right place.

Healthcare here is different – we’re locally owned and led by our physicians, and all decisions are always made right here in Central Iowa.

By working at The Iowa Clinic, you’ll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we’re committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.

Think you’ve got what it takes to join our TIC team? Keep reading…

A day in the life…

Serves as the Representative for the Revenue Cycle Management Department as a resource in medical billing. Facilitates insurance billing and maintains positive working relationships across roles and departments to facilitate issue resolution. Clear understanding of healthcare insurance collections and denials. Possesses the ability to handle the resubmission, reposting, and transferring of charges to resolve accounts in a time efficient process.

Maintains ongoing que of denied claims review and response. Follows through on responses to resolve avoidable denials.

Research pended insurance claims at day 60 without a payment or denial. Researches and analyzes accounts that are over 180 days for one touch resolution.

Works a variety of reports weekly and monthly.

Place calls to insurance companies, patients, and third-party vendors for various reasons.

Serves as a resource for clinics for eligibility inquiries.

Assist in identifying and resolving issues to assure high quality, efficient, and cost-effective services consistent with the needs of the organization.

Education

High school diploma or equivalent

Minimum 2 years’ experience working in a medical office or billing environment with medical billing and collections required.

Working knowledge of medical terminology required.

Qualifications

A desire to find a meaningful, fulfilling career

Ability to analyze and interpret financial data including explanation of benefits from all payers.

Demonstrate ability to effectively communicate both orally and in writing.

Ability to read and write legibly and understand/follow written and verbal directions.

Must be able to operate computer and have necessary keyboarding skills to function in assigned Microsoft programs including Word, Excel, Outlook, etc.

A positive and team-oriented attitude

Must possess organizational and self-motivational skills in prioritizing and managing multiple tasks.

Excellent attention to detail with a focus on accuracy and quality.

Proven sound judgement and ability to work within delegated authority.

Bonus points if…

You love exceeding people’s expectations

You enjoy having fun where you work

Finding meaningful connections is what you live for

Know someone else who might be a great fit for this role? Share it with them!

What’s in it for you

One of the best 401(k) programs in central Iowa, including employer match and profit sharing

Employee incentives to share in the Clinic’s success

Generous PTO accruals

Paid Holidays

Health, dental and vision insurance

Quarterly volunteer opportunities through a variety of local nonprofits

Training and development programs

Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on

Monthly departmental celebrations, jeans days and clinic-wide competitions

Employee rewards and recognition program

Health and wellness program with up to $350/year in incentives

Employee feedback surveys

All employee meetings, team huddles and transparent communication