- UnityPoint Health (Des Moines, IA)
- …for the care we provide. In this role, you'll dive into insurance claims to identify incorrect payments and uncover opportunities for recovery. You'll build and ... difference with UnityPoint Health. Responsibilities + Identifying and Resolving Incorrectly Paid Claims + Review accounts to identify payments that do not align with… more
- University of Iowa Community Credit Union (Dubuque, IA)
- …to obtain a quote, provide advice regarding insurance products and services, submit claims , advise about claims process, calls out as needed to discuss ... for insurance applications and cancellations. + Researches and resolves billing questions/discrepancies. Asks for exceptions and extensions from the companies… more
- Evolent (Des Moines, IA)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Highmark Health (Des Moines, IA)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior ... duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in… more
- Hy-Vee Food Stores (Dubuque, IA)
- …containers. + Prepares prescriptions to be mailed. + Prepares and submits insurance claims . + Files prescriptions after they have been dispensed. + Reports any ... of pharmacy and dispensing area. + Assists with third party insurance billing and trouble shooting. + Maintains strict adherence to department and company… more
- Access Dubuque (Dubuque, IA)
- …registration as well as at least six months' experience with health care billing , health care insurance, or similar roles. Bi-lingual Marshallese or Spanish is ... UnityPoint Health Finley Hospital Event Coordinator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO **Share this Job** Crescent Community… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …IT service rates and chargeback models, ensuring accurate cost allocation and billing for state and local government services. + Ensure compliance with state ... policies. + Reconcile accounts monthly, resolve discrepancies, and ensure accuracy of claims and payments including eDAS and ICN billings. + Oversee reimbursement… more
- Molina Healthcare (Des Moines, IA)
- …care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- Access Dubuque (Dubuque, IA)
- …follow-up activities. This requires attention to detail and the ability to multi-task. Billing review and payment coordination are also part of the role. **Benefits ... UnityPoint Health Finley Hospital Event Coordinator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO **Share this Job** Medical Associates… more
- Humana (Des Moines, IA)
- …Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more