*Description*
Will be a 6-9 month set contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest.
- x1- Occupational Insurance Billing/Follow Up role - newer/smaller team that will work mostly with clients on workers comp, health screening, etc. Previous occupational health physician billing follow up experience preferred and would be huge for this role! Will be bulk claims and denial work - no patient calling.
- x1 - Hospital Insurance Billing/Follow Up role - will assist with hospital billing; smaller volume billing with higher dollar amounts. Hospital billing and denial follow up experience preferred. Previous Iowa or Illinois Medicaid experience preferred.
The Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances.
Daily Duties:
Resolve billing errors/edits, including accounts with Stop Bills and "DNBs" to ensure all claims are filed in a timely manner
Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
Verify eligibility and claims status on unpaid claims
Review payment denials and discrepancies and take appropriate action to correct the accounts/claims
Respond to customer service inquiries
Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly
Submit replacement, cancel and appeal claims to third party payers
Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication
Work accounts in assigned queues in accordance with departmental guidelines
Contact patients for needed information so claims are processed /paid in a timely manner
Work directly with third party payers and internal/external customers toward effective claims resolution
*Skills*
epic, medical billing, follow up
*Top Skills Details*
epic,medical billing,follow up
*Additional Skills & Qualifications*
High School graduate or equivalent
Experience with payer platforms
Billing/follow up experience OR worked for a Clinic using EPIC
Work from home space required
Specific experience related to the role - see job description
PREFER:
Medical billing experience
EPIC experience
Previous commercial billing experience
*Experience Level*
Entry Level
*Job Type & Location*
This is a Contract position based out of West Des Moines, IA.
*Pay and Benefits*
The pay range for this position is $19.00 - $22.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully remote position.
*Application Deadline*
This position is anticipated to close on Dec 12, 2025.
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