Insurance Denial Specialist

Iowa Ortho • Des Moines, IA

5h • Hybrid

About The Position

Iowa Ortho 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. 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 regards to auditing accounts for correct reimbursement
• 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

Nice To Haves

• Prior experience with workers’ compensation preferred

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 payerAR

Benefits

• Competitive pay
• health
• dental
• paid time off
• paid holidays
• 401(k) with company match
• profit-sharing
• employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed