- Highmark Health (Des Moines, IA)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation,… more
- Evolent (Des Moines, IA)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- Sedgwick (Dubuque, IA)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... resolution + Knowledge of insurance industry fundamentals + Understanding of insurance billing and policy administration + Excellent oral and written communication +… more
- Sedgwick (Dubuque, IA)
- …a wide range of customer needs, including: + General policy support + Billing inquiries + New business quoting and onboarding + Underwriting clarification + Vehicle ... resolution + Knowledge of insurance industry fundamentals + Understanding of insurance billing and policy administration + Excellent oral and written communication +… more
- Primary Health Care (Des Moines, IA)
- …PHC's revenue cycle. The PSD collaborates with clinics, Revenue Cycle Director and billing team, and HIT personnel to ensure efficient processes and workflows that ... workflows to ensure maximum patient collections and minimization of registration related claims denials. Demonstrates iCare values in daily work. What You Will Do… more
- UnityPoint Health (Des Moines, IA)
- …and completeness of charge capture prior to releasing charges for billing . Ensures that pre-certification/authorizations and insurance benefits are obtained and ... ensure that patient financial needs are met and hospital claims are reimbursed to the fullest extent. Updates pre-certification...and i nsurance information . + Reviews / corrects billing charges + Assigns procedure codes on charge tickets… more
- UnityPoint Health (Sioux City, IA)
- …for you!! Patient Financial Support Assistants act as on-site support for billing questions from patients and guarantors. The representative is responsible for ... and make a difference with UnityPoint Health. Responsibilities + Respond to onsite billing and financial inquiries from patients and other related inquiries in a… more
- Pine Acres Rehabilitation & Care Center (West Des Moines, IA)
- …the Administrator. + Gathers and forwards information needed for contracted agency to prepare billing of Medicare A, B, and C claims . + Collaborates with ... limited to accounts payable, Medicare A, B, and C billing , and Medicaid MCO billing and application...B, and C billing , and Medicaid MCO billing and application processing. Business Office Manager Duties and… more
- Molina Healthcare (Davenport, IA)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- Molina Healthcare (Cedar Rapids, IA)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
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