- Cardinal Health (Des Moines, IA)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims… more
- CVS Health (Des Moines, IA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Molina Healthcare (Sioux City, IA)
- JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and ... oversees necessary correspondence in accordance with regulatory requirements. * Ensures claims production standards set by the department are met. * Maintains… more
- Molina Healthcare (Iowa City, IA)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ ) * Prepares, tracks ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of...days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and… more
- Cardinal Health (Des Moines, IA)
- …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... performance evaluations for AR follow-up staff. + Coordinate with billing , coding, and other departments to address claim issues...as the point of escalation for complex or high-dollar claims . + Stay current with payer policy changes, compliance… more
- Intermountain Health (Des Moines, IA)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.… more
- Molina Healthcare (IA)
- …and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information ... also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position… more
- Sanford Health (IA)
- …reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical ... end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims , scanning and indexing of documents, and be the point of contact… more
- Highmark Health (Des Moines, IA)
- …Daily responsibilities will involve the in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect anomalous provider ... billing patterns. **SUMMARY OF JOB RESPONSIBILITIES** This job has...and optimize SQL queries to extract data from healthcare claims databases. - Analyze large datasets of healthcare … more
- Cardinal Health (Des Moines, IA)
- …and obtained. + Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay. ... Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a… more