Revenue Cycle Representative II (Full Time)
The Iowa Clinic, PC., Des Moines, IA, United States
A day in the life…
Wondering what a day in the life of a Revenue Cycle Representative II at The Iowa Clinic might look like?
Claims Denials and Follow-Up
Perform timely follow-up on underpaid or denied claims using internal systems, payer websites, and phone calls.
Review and resolve denied claims per payer policies through corrected claims, reconsiderations, or appeals.
Demonstrate capacity to work across a variety of queues, including multiple plans/payers and diverse denial types.
Review complex cases requiring detailed analysis of documentation and payer policies that could include making updates to billed charges or diagnosis as supported in medical records.
Provide applicable medical records to payers to support billing and adjudication as needed.
Meet production expectations while maintaining high quality and reducing denied or pending claims.
Payer & Industry Expertise
Monitor industry updates and payer-specific policies; share relevant information with team and leadership.
Team Collaboration & Professional Standards
Demonstrate professionalism, maintain confidentiality, and promote a positive impression of the organization.
Ensure compliance in coding updates, patient, and financial information.
Support overall workload of the denial team as needed.
Work collaboratively with team members and leadership in a shared office environment to support communication, training, and operational efficiency.
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 office and 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.
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
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 surveysAll employee meetings, team huddles and transparent communication
#J-18808-Ljbffr
Wondering what a day in the life of a Revenue Cycle Representative II at The Iowa Clinic might look like?
Claims Denials and Follow-Up
Perform timely follow-up on underpaid or denied claims using internal systems, payer websites, and phone calls.
Review and resolve denied claims per payer policies through corrected claims, reconsiderations, or appeals.
Demonstrate capacity to work across a variety of queues, including multiple plans/payers and diverse denial types.
Review complex cases requiring detailed analysis of documentation and payer policies that could include making updates to billed charges or diagnosis as supported in medical records.
Provide applicable medical records to payers to support billing and adjudication as needed.
Meet production expectations while maintaining high quality and reducing denied or pending claims.
Payer & Industry Expertise
Monitor industry updates and payer-specific policies; share relevant information with team and leadership.
Team Collaboration & Professional Standards
Demonstrate professionalism, maintain confidentiality, and promote a positive impression of the organization.
Ensure compliance in coding updates, patient, and financial information.
Support overall workload of the denial team as needed.
Work collaboratively with team members and leadership in a shared office environment to support communication, training, and operational efficiency.
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 office and 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.
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
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 surveysAll employee meetings, team huddles and transparent communication
#J-18808-Ljbffr