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Insurance Denial Specialist

Iowa Ortho, Des Moines, Iowa, United States, 50319

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Overview 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.

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 payer AR

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 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 benefits package including 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

Cutting-Edge Environment: State-of-the-art facility with the latest medical technology

Team Atmosphere: A collaborative team that supports one another and is committed to patient care

Professional Growth: Opportunities for career advancement and continuous learning

Joining Iowa Ortho Join our team and be part of our commitment to delivering gold-standard healthcare. Please note our first point of contact may be by email. Check your spam folder for unknown senders.

Iowa Ortho is a privately held medical practice. Candidates who receive a conditional offer of employment 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. We are an equal opportunity employer and do not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

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