Insurance Reimbursement Specialist Jobs in Iowa

3+ years' experience in health care/managed care environment, preferably in a large physician practice or a combination of experience and education.

Excellent communication skills and ability to effectively communicate with various levels of management in a multi-disciplinary environment.

Bachelor’s degree in Accounting, Business, Finance or an equivalent combination of training and experience required

Knowledgeable in physician reimbursement and managed care claim payment issues.

1+ year of experience with complex refunds to insurance

Strong analytical skills with attention to detail.

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19. Communicates problems hindering workflow to management in a timely manner.

3. Contacts insurance company or employer to determine eligibility and benefits for requested services.

7. Documents referrals/authorization/certification numbers in the EPIC system.

10. Maintains current knowledge of major payment provisions and regulations.

1. Excellent oral and written communication skills.

2. Basic knowledge of medical terminology.

Thorough knowledge of anatomy, medical terminology, ICD-10, CPT and modifier codes

Excellent problem solving and analytical skills

Strong computer skills including billing/coding systems and intermediate Excel skills

Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials.

Work rejections for insurance companies regarding diagnostic and procedure code denials.

Contact insurance companies for verification of claim status and clarification of denials.