Insurance Denial Specialist

Iowa Ortho; Des Moines (IA); Hybride; USD 42 000 - 65 000; Plein temps

Résumé du poste

Iowa Orthopedic Center is seeking an Insurance Denial Specialist to monitor Accounts Receivable recovery for insurance carriers. This role emphasizes accuracy in reimbursement, patient communication, and payer interactions.

After initial onsite training, the role offers a hybrid schedule with hours 7:30 AM to 4:00 PM, Monday through Friday, focusing on efficient denial resolution and timely processing.

Qualifications

• Knowledge of CPT/ ICD-10/ HCPC with regards to auditing accounts for correct reimbursement.
• Knowledge of daily, monthly, yearly process of the insurance patient account representative position.
• Prior experience with workers’ compensation preferred.
• Excellent communication skills including strong customer service over the phone and in person.
• Basic computer skills; Microsoft Office Suite (Excel, Outlook, Word).
• Ability to utilize web tools, fee schedules, and insurance correspondence to work accounts efficiently and timely.

Responsabilités

• Answer insurance questions.
• Work patient accounts and the Clearinghouse rejections.
• Carry out special projects as assigned and other duties as assigned.
• Denial Work Log adjustments and review/approve payer and patient refunds.
• Assist with other duties as assigned and manage assigned payer AR.
• Hybrid work schedule after training; onsite during initial period; hours 7:30 AM - 4:00 PM, Mon-Fri.

Connaissances

CPT/ ICD-10/ HCPC knowledge

Customer service excellence

Computer skills (MS Office)

Web tools and fee schedules

Outils

Microsoft Office Suite (Excel, Outlook, Word)

Description du poste

Description

Iowa Orthopedic Center is actively seeking an Insurance Denial Specialist. This role is responsible for the daily monitoring of Accounts Receivable recovery for our insurance carriers.

As a Center of Excellence, every team member at Iowa Ortho—from the surgeons to the administrative staff—strives to provide the highest quality medical care possible. If you enjoy working alongside some of the best medical providers in the state and you place patient care above all else, there may be a place for you at Iowa Ortho.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Answer insurance questions
• Work patient accounts
• Work the Clearinghouse rejections
• Carry out special projects as assigned and other duties as assigned
• Denial Work Log adjustments
• Review and approve payer and patient refund requests
• Other adjustments and audits as assigned (prompt pay, admin, work comp, etc.)
• Assist with other duties as assigned
• Responsible for the assigned payerAR
• This role offers a hybrid work schedule following the initial training period, which will be onsite. Hours of the position are 7:30 AM - 4:00 PM, Monday - Friday.

Requirements

• Knowledge of daily, monthly, yearly process of the insurance patient account representative position
• Knowledge of CPT/ ICD-10/ HCPC with regards to auditing accounts for correct reimbursement
• Prior experience with workers’ compensation preferred
• Excellent communication skills including the ability to demonstrate strong customer service over the phone and in person
• Basic computer skills; Microsoft Office Suite (Excel, Outlook, Word)
• Ability to utilize web tools, fee schedules, and insurance correspondence to work accounts efficiently and timely
• Excellent communication skills

Why Choose Iowa Ortho?

At Iowa Ortho, we are guided by our IMPACT values, and we believe in fostering a culture that prioritizes both professional excellence and compassionate care:

• Innovation that Drives Positive Outcomes (I)
• Motivation for Exceptional Care (M)
• Passion for Quality in Everything We Do (P)
• Accountability Through Open and Honest Communication (A)
• Commitment to Continued Growth (C)
• Teamwork (T)

• Competitive Benefit Package: Competitive pay, health, dental, paid time off, paid holidays, 401(k) with company match, profit-sharing, employee discounts and more.
• Center of Excellence: Physician-owned orthopedic clinic and surgery center dedicated to providing exceptional medical care to the people of central Iowa. Discover why Iowa Ortho is a recognized center of excellence in orthopedic care.
• Cutting-Edge Environment: Work in a state-of-the-art facility that embraces the latest advancements in medical technology.
• Team Atmosphere: Join a collaborative team that supports one another and is committed to enhancing patient care.
• Professional Growth: Opportunities for career advancement and continuous learning.

Join our team and be a part of our commitment to delivering gold-standard healthcare!

*Please note our first point of contact may be by email. Please check your spam folder, as unknown senders sometimes wind up in spam or junk.

*Iowa Ortho is a privately held medical practice. Candidates who receive a conditional offer of employment at Iowa Ortho will be required to complete a criminal background check, education verification, reference checks, and an initial TB test.

*Iowa Ortho is committed to a diverse and inclusive workplace. Iowa Ortho is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.