Address
Form of workChildServe has an opening for a Medical Billing Specialist II. This individual will be supported by a tenured team, have opportunities for growth and be able to enjoy a hybrid work model.
What You'll Do
What You'll Do
Revenue Cycle Management
- Verify insurance eligibility and complete medical pre-authorization requests as required by payers for new and existing patients. Track and submit authorizations for additional visits, units, or time span when necessary. Verify charges, procedure codes, and diagnosis codes accurately.
- Prepare and submit monthly / weekly billing to the correct payers within required timelines. Prepare monthly invoices for families and other pay sources. Includes form 1500s. Record and apply payments and/or adjustments in the billing system, reconciling batch totals. Review insurance payments to verify insurance companies are paying according to fee schedules. Work aged accounts to ensure reimbursement.
- Document claim denial reason in practice management software according to reason codes provided on explanation of benefits forms. Review and assist in appealing unpaid claims and resolve payment discrepancies. Make cost-effective recommendations for adjustments and write-offs of non-collectible accounts.
- Perform various collection actions including contacting patients and third party payers.
- Act as a resource for patients, families, providers, and payers regarding patient accounts and applicable regulations.
Process Improvement
- Participate in the design and implementation of new accounting procedures and processes for new and existing programs. Train new and existing staff on processes and procedures as requested by supervisors. Create and maintain training manuals. Make effective recommendations to revise existing accounting procedures to enhance quality and consistency of financial transactions.
- Serve as back up and subject matter expert for other team members. Perform other duties as assigned.
Schedule
General business hours, M – F, hybrid work is an option once trained
General business hours, M – F, hybrid work is an option once trained
What You'll Need
- High School Diploma/GED
- Associates degree in Accounting, Business Management, or Healthcare related field, preferred
- Five years of successful Medical Billing experience required, working with complex claims and with both professional institutional claims and MCOs. Experience across medical service lines preferred.
- Prefer experience in developing processes regarding Medical Billing and training others.
- Prefer broader work experience in Accounts Receivable processes.
- Ability to communicate effectively in reading, writing, and speaking the English language
Why ChildServe?
ChildServe has earned the title of Top Workplace every year since 2014. Here’s why employees love working here:
- Our work matters. We partner with families to help children with special healthcare needs live a great life.
- We’re not your average non-profit. We serve more than 5,800 children each year through over 30 specialty pediatric services in the Ames, Des Moines, Iowa City, and Cedar Rapids areas. Many of our programs are one-of-a-kind.
- Our team rocks. Our teams are filled with people who care about their coworkers, and who believe that collaboration is key to providing exceptional care to children.
- Our learning never stops. As a non-profit dedicated to innovation, we’re proud to help team members gain new certifications, continue their education, take their expertise to the next level, and find new opportunities to advance their career right here at ChildServe.
- We believe we our differences make us great. We are on a continuous journey to create an environment where different perspectives are valued and all feel safe and welcome.
- We’re moving forward together. Experts across multiple disciplines work together to help kids get the best care possible.
ChildServe is an Equal Opportunity Employer.
