Claims Follow-Up Specialist I: Denials & Reimbursements

McFarland Clinic; Ames (IA); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

401(k)

PTO

Job summary

McFarland Clinic in Ames, IA is accepting applications for a Claims Follow-up Specialist to join our billing team. The role focuses on submitting accurate claims, resolving denials, and ensuring timely reimbursements.

Responsibilities include applying carrier guidelines, utilizing Epic billing modules, reviewing open claims, and responding to insurers. The position requires at least 2 years of medical coding experience and a high school diploma; pre-employment screenings apply.

Qualifications

• 2 years of medical coding experience with exposure to coding activities or insurance claims preferred.
• Familiarity with Epic modules (Prelude, Cadence, Ambulatory, and Professional Billing).
• Pre-employment drug screen and criminal history background checks are required.

Responsibilities

• Applies insurance carrier guidelines to submit accurate claims for proper reimbursement.
• Resolves denials and patient questions/concerns filtered through Patient Services Reps regarding billing statements and insurance notifications.
• Reviews open claims for correct and timely remittances.
• Reviews documentation and provides responses to insurance carriers to assist in resolving claim denials.
• Reviews and processes record requests from insurance companies.
• Answers telephone and provides information as necessary.
• Attends required meetings and participates on committees as requested.
• Participates in professional development activities and maintains professional affiliations.
• Maintains patient confidentiality.
• Performs related work as required.
• Other duties as assigned

Skills

Medical coding

Insurance claims

Education

High School Diploma, GED or HiSET

Job description

McFarland Clinic in Ames, IA is accepting applications for a Claims Follow-up Specialist to join our billing team. The role focuses on submitting accurate claims, resolving denials, and ensuring timely reimbursements.

Responsibilities include applying carrier guidelines, utilizing Epic billing modules, reviewing open claims, and responding to insurers. The position requires at least 2 years of medical coding experience and a high school diploma; pre-employment screenings apply.