Medical Billing Specialist I

Description

As a Medical Billing Specialist I, you’ll play a vital role at the heart of our healthcare operations, transforming complex billing processes into seamless, accurate submissions that keep everything running smoothly. You’ll be the expert ensuring claims are processed on time, tackling rejections and denials with precision, and driving the financial health of the organization forward.Schedule

• General business hours, M – F, 40 hours per week, based out of our Johnston location 
• Hybrid work is an option once trained 

• Comprehensive Health Coverage – 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! 

• Verify charges, procedure codes, and diagnosis codes, utilizing 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 to ensure accurate and timely reimbursement.   
• Generate monthly invoices for families and conduct various collection actions, 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 effectively with patients, insurance providers, internal and external teams to identify and resolve billing issues or concerns. 
• Report trends or issues related to billing and/or reimbursement to leadership. 

• Act as a knowledgeable resource for patients, families, providers, and payers regarding patient accounts and applicable regulations. 
• Provide phone coverage to address patient inquiries and complete payment transactions over the phone. 

• Associate degree in accounting, Business Management, or Healthcare related field, preferred 
• One year of medical billing experience, understanding of medical terminology and coding, preferred 
• Proficient use of Microsoft applications, including Outlook, Word and Excel 
• Strong attention to detail 
• Ability to exercise confidentiality regarding the affairs of 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 the English language 

• ChildServe partners with families to help children with special healthcare needs live a great life. 
• ChildServe is a leading pediatric healthcare provider with Iowa’s only children's specialty hospital, offering a variety of services and programs to meet each child’s unique needs. 

• ChildServe’s four key specialty areas include: complex medical care, pediatric rehabilitation, autism and behavioral health, and community-based services. With a coordinated approach to care delivery, services are interwoven and streamlined, so families can address their child’s needs in one location. 
• Established in 1928, ChildServe proudly provides more than 30 pediatric specialty services to nearly 6,000 children in Iowa each year.