Revenue Cycle Representative II (Full Time)

The-Iowa-Clinic; West Des Moines (IA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

401(k) with employer match

Generous PTO

Health, dental and vision

Paid holidays

Training and development

Team events

Job summary

The Iowa Clinic in West Des Moines, IA is seeking a Revenue Cycle Representative II to join our billing team, focusing on denial management and ensuring accurate reimbursement.

You will follow up on denied/underpaid claims, review complex issues, submit documentation, manage multiple queues, and stay updated on payer guidelines while maintaining patient confidentiality and compliance. We offer strong benefits and growth opportunities within a locally owned clinic.

Qualifications

• Minimum 2 years of experience in medical office or billing with denials and insurance collections.
• Experience in medical office and knowledge of revenue cycle and payer denial practices.
• Awareness of medical terminology.

Responsibilities

• Follow up on denied, underpaid, and pending claims through payer websites, phone calls, and internal systems.
• Investigate and resolve claim denials by submitting corrected claims, reconsiderations, appeals, and supporting documentation.
• Review complex claim issues and analyze medical records, payer guidelines, charges, and diagnoses to support accurate reimbursement.
• Submit medical records and additional documentation to payers as needed for claim adjudication.
• Manage multiple work queues, payer plans, and denial types while meeting productivity and quality standards.
• Monitor payer and industry updates and communicate relevant changes to the team.
• Ensure compliance with coding guidelines, payer requirements, and patient confidentiality standards.
• Collaborate with team members and leadership to support operational goals, workflow efficiency, and denial resolution efforts.
• Assist with overall denial management workload and contribute to a positive, professional work environment.

Skills

Medical billing

Denials handling

Insurance collections

Revenue cycle

Payer denial practices

Medical terminology

Education

High school diploma or equivalent

Job 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 you take to join our TIC team? Keep reading…

A day in the life…

Wondering what a day in the life of Revenue Cycle Representative II at The Iowa Clinic might look like?

• Follow up on denied, underpaid, and pending claims through payer websites, phone calls, and internal systems.
• Investigate and resolve claim denials by submitting corrected claims, reconsiderations, appeals, and supporting documentation.
• Review complex claim issues and analyze medical records, payer guidelines, charges, and diagnoses to support accurate reimbursement.
• Submit medical records and additional documentation to payers as needed for claim adjudication.
• Manage multiple work queues, payer plans, and denial types while meeting productivity and quality standards.
• Monitor payer and industry updates and communicate relevant changes to the team.
• Ensure compliance with coding guidelines, payer requirements, and patient confidentiality standards.
• Collaborate with team members and leadership to support operational goals, workflow efficiency, and denial resolution efforts.
• Assist with overall denial management workload and contribute to a positive, professional work environment.

This job might be for you if…

Education

• High school diploma or equivalent

Qualifications

• Minimum 2 years of experience working in a medical office or billing environment with medical billing, denials and insurance collections required.
• Previous experience working in a medical officeand a working knowledge of revenue cycle and payer denial practices.
• Awareness of medical terminology required.

Bonus points if…

• CPC Preferred
• Exposure to different types of insurance programs preferred.

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
• and 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