Accounts Receivable Ins Billing Specialist

Goodwill of the Great Plains•Sioux City, IA

7d•$0 - $24•Onsite

About The Position

We are looking for an Accounts Receivable and Insurance Billing Specialist to join our team! This position is responsible for monitoring and accurately accounting for payments received for services provided by the Mission Department. This position will also ensure the accurate invoicing of Iowa Medicaid, MCO’s, and other partners for services provided and resolve discrepancies between reporting software and billing software systems.

Requirements

Associate’s degree or High School Graduate with completion of post-secondary course work with emphasis in accounting and/or bookkeeping required.
Minimum of two years previous experience in accounts receivable related activity required.
Clean criminal and dependent adult abuse background check
Must maintain a high level of integrity, accuracy, dependability and confidentiality.

Nice To Haves

Bachelors degree in finance, accounting, business admin is preferred
Previous experience with insurance billing for HCBS Programs and Vocational Rehabilitation Services or similar experience a plus.

Responsibilities

Manage the complete billing cycle for insurance and grant-funded programs, ensuring accurate and timely claim submission.
Verify client insurance eligibility, authorizations, and documentation to ensure services are billable and compliant with funding requirements.
Submit claims and invoices to Medicaid Managed Care Organizations (MCOs), insurance carriers, and other funding sources within required deadlines.
Process payments, post insurance remittances, reconcile accounts, and maintain accurate accounts receivable records.
Investigate, resolve, and appeal denied or underpaid claims while monitoring payment accuracy and reimbursement trends.
Monitor outstanding accounts receivable, document collection efforts, and collaborate with the accounting team to resolve overdue balances.
Maintain billing records, grant tracking spreadsheets, aging reports, and clearinghouse reconciliations to support financial accuracy.
Respond to billing inquiries from clients, insurance companies, and internal staff while providing excellent customer service.
Stay current on insurance regulations, reimbursement rates, payer requirements, and participate in payer trainings and informational meetings.
Maintain provider credentialing and re-credentialing with insurance companies and manage access to payer portals and billing systems.