Insurance Denial Specialist
Iowa Ortho, Des Moines, IA, United States
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 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 regard 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?
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 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.
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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 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 regard 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?
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 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.
#J-18808-Ljbffr