Insurance Denial Specialist

Iowa Orthopedic Center; Des Moines (IA); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive benefits

Center of Excellence

Cutting-edge environment

Team-oriented culture

Professional growth

Job summary

Iowa Orthopedic Center is actively seeking an Insurance Denial Specialist to monitor accounts receivable recovery for insurance carriers. The role supports excellent patient care and works with a top medical provider team in central Iowa.

Responsibilities include handling insurance questions, processing denials, and logging adjustments while collaborating with clinicians and administrative staff. A hybrid schedule follows initial onsite training with standard weekday hours.

Qualifications

• Knowledge of daily, monthly, yearly processes for insurance patient accounts
• Ability to audit CPT/ICD-10/HCPCS for correct reimbursement
• Excellent communication with patients and carriers
• Proficient in Microsoft Excel, Outlook, Word

Responsibilities

• Answer insurance questions
• Work patient accounts
• Resolve Clearinghouse rejections
• Carry out special projects and duties as assigned
• Maintain Denial Work Log and adjustments
• Review and approve payer and patient refunds
• Assist with other duties as assigned
• Manage the assigned payer AR
• Hybrid work schedule after onboarding; onsite for training; hours 7:30 AM–4:00 PM, Mon–Fri

Skills

Insurance accounts

Communication skills

Excel

Microsoft Office

Web tools

Job description

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.