Billing Specialist Jobs

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Medical Billing Specialist I (Full-Time)

ChildServe•Johnston, IA
•Hybrid

About The Position

The Medical Billing Specialist I supports healthcare operations by preparing accurate billing submissions, processing claims, resolving rejections and denials, and helping maintain the organization’s financial health. The role verifies charges and coding, submits billing to appropriate payers, reviews unpaid claims, creates family invoices, and conducts collection activities. It also maintains accurate patient and insurance information, protects patient confidentiality, and communicates with patients, payers, and internal and external teams to resolve billing issues. The position is based at ChildServe’s Johnston location during general business hours, Monday through Friday, 8:00 a.m. to 4:00 p.m. Hybrid work may be available after training. The specialist also provides phone coverage, answers patient account questions, processes phone payments, reports billing and reimbursement trends to leadership, and serves as a resource to patients, families, providers, and payers.

Requirements

  • Proficient use of Microsoft applications, including Outlook, Word, and Excel.
  • Strong attention to detail.
  • Ability to maintain confidentiality regarding clients, staff, their families, and ChildServe business.
  • Ability to maintain positive working relationships and demonstrate sensitivity to and respect for a diverse population.
  • Ability to communicate effectively in reading, writing, and speaking English.

Nice To Haves

  • Associate degree in accounting, Business Management, or a healthcare-related field.
  • One year of medical billing experience, with an understanding of medical terminology and coding.

Responsibilities

  • Verify charges, procedure codes, and diagnosis codes, including appropriate modifiers and diagnosis digits.
  • Prepare and submit billing to the correct payers on a weekly or monthly basis within specified timelines.
  • Review and appeal unpaid claims to resolve payment discrepancies and ensure accurate, timely reimbursement.
  • Generate monthly invoices for families and conduct collection activities, including contacting patients and third-party payers.
  • Ensure patient demographics and insurance information are accurately entered into the system.
  • Adhere to HIPAA regulations and maintain patient confidentiality.
  • Communicate with patients, insurance providers, and internal and external teams to identify and resolve billing issues or concerns.
  • Report billing or reimbursement trends and issues to leadership.
  • Serve as a resource for patients, families, providers, and payers regarding patient accounts and applicable regulations.
  • Provide phone coverage, respond to patient inquiries, and complete payment transactions over the phone.

Benefits

  • Medical, dental, and vision insurance.
  • 403(b) retirement plan with up to an employer match.
  • Onsite cafeteria with free fountain drinks and low-priced meals.

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