About The Position

McFarland Clinic is currently accepting applications for Claims Follow-up Specialist for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

Requirements

  • High School Diploma, GED or HiSET
  • 2 years of medical coding experience with exposure to coding activities or insurance claims preferred.

Responsibilities

  • Applies insurance carrier guidelines to submit accurate claims for proper reimbursement.
  • Maintains broad knowledge of Epic not limited to Prelude, Cadence, Ambulatory and Professional Billing.
  • Utilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Services Reps regarding their billing statements and insurance notifications.
  • Stays current with changes in reimbursement regulations.
  • Reviews open claims for correct and timely remittances.
  • Reviews documentation and provides responses to insurance carriers to assist in resolving claim denials.
  • Reviews and processes record requests from insurance companies.
  • Answers telephone and provides information as necessary.
  • Attends required meetings and participates on committees as requested.
  • Participates in professional development activities and maintains professional affiliations.
  • Maintains patient confidentiality.
  • Performs related work as required.
  • Other duties as assigned

Benefits

  • health and dental insurance
  • 401(k)
  • PTO
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