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Medical Billing Specialist I
Medical Billing Specialist IChildServe • Johnston, Iowa, US
Medical Billing Specialist I

Medical Billing Specialist I

ChildServe • Johnston, Iowa, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Description

ChildServe has an opening for a Medical Billing Specialist I. This individual will be supported by a tenured team, have opportunities for growth and be able to enjoy a hybrid work model once trained. What You'll Do  Revenue Cycle Management

  • Review and assist in appealing unpaid claims and help resolve payment discrepancies. Works aged accounts to ensure reimbursement.
  • Prepare and submit monthly or weekly billing to the correct payers within a specified timeline. Prepare monthly invoices for families and other pay sources.
  • Make recommendations for adjustments and write-offs of non-collectible accounts.
  • Perform various collection actions including contacting patients and third-party payers.
  • Record and apply payments and / or adjustments in the billing system, reconciling batch totals. Reconcile cash accounts daily for all ChildServe
  • Document claim denial reason in the billing system, according to reason codes provided on explanation of benefits forms.
  • Verify charges, procedure codes, and diagnosis codes utilizing appropriate modifiers and diagnosis digits.
  • Review insurance payments to verify insurance companies are paying according to their fee schedule.
  • Act as a resource for patients, families, providers, and payers regarding patient accounts and applicable regulations.

Process Improvement

  • Participate in the design and implementation of new accounting procedures and processes for new and existing programs.
  • Make recommendations to revise existing accounting procedures to enhance quality and consistency of financial transactions.
  • Serve as back up for other team members.

    • Schedule

    General business hours, M – F, hybrid / remote work is an option once trained.

    What You'll Need

  • High School Diploma / GED
  • Preferred : Associate degree in accounting, Business Management, or Healthcare related field
  • Preferred : One year of medical billing experience, understanding of medical terminology and coding.
  • Proficient use of Microsoft applications, including Outlook, Word and Excel
  • Strong attention to detail
  • Ability to exercise confidentiality regarding the affairs of clients, staff, their families, and ChildServe business. Ability to maintain positive working relationships and demonstrate sensitivity to, and respect for, a diverse population.
  • Ability to communicate effectively in reading, writing, and speaking the English language.

    • Why ChildServe

    ChildServe has earned the title of Top Workplace every year since 2014. Here’s why employees love working here :

  • Our work matters. We partner with families to help children with special healthcare needs live a great life.
  • We’re not your average non-profit. We serve more than 5,800 children each year through over 30 specialty pediatric services in the Ames, Des Moines, Iowa City, and Cedar Rapids areas. Many of our programs are one-of-a-kind.
  • Our team rocks . Our teams are filled with people who care about their coworkers, and who believe that collaboration is key to providing exceptional care to children.
  • Our learning never stops. As a non-profit dedicated to innovation, we’re proud to help team members gain new certifications, continue their education, take their expertise to the next level, and find new opportunities to advance their career right here at ChildServe.
  • We believe our differences make us great . We are on a continuous journey to create an environment where different perspectives are valued, and all feel safe and welcome.
  • We’re moving forward together. Experts across multiple disciplines work together to help kids get the best care possible.

    • Ready to leave work every day knowing you’ve made a difference for kids and families? Let’s move Forward Together - apply today!

    ChildServe is an Equal Opportunity Employer.

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