The Corporate Skilled Nursing Billing Consultant & Trainer position is responsible for the skilled nursing billing process development, review, and auditing of best practices across all Life Plan communities. This role serves as the company's subject matter expert on healthcare billing and provides education, training, and consultation on best practices and regulatory compliance.
Experience is Everything;
At LCS, experience is everything. We provide you the opportunity to use your talents in a progressive, growing organization that makes a positive difference in the lives of the seniors we serve. If you are seeking an organization that gives back, you'll love working here. Our principles and hospitality promises define our company culture. LCS employees can be found participating in volunteer activities, getting involved in our committees or collaborating with team members in our innovative work space. You'll find several opportunities to grow as a professional, serve the community, and enhance the lives of the seniors.
What you'll do:
* Conduct skilled nursing billing process reviews, audits, and assessments at Life Plan communities owned or managed by LCS. During and after the audit, share findings and best practices with community staff.
* Maintain knowledge and compliance with federal, state, and local regulations related to healthcare billing. Evaluate changes to regulations that impact skilled nursing and billing processes and policies. Develop implementation, training, and education plans to ensure compliance with these changes.
* Develop and maintain healthcare billing training materials for the following audiences: Directors of Operations Management, Executive Directors, Administrators, Accounting Directors, MDS Coordinators, Admissions, BillingSpecialists, and LCS corporate leadership.
* Collaborate with Healthcare Billing and Accounts Receivable Manager to understand accounts receivable trends for Life Plan communities and root cause to determine where education, guidance, or assistance is needed to achieve benchmark for accounts receivable. Develop a strategy and training plan for billingspecialists to successfully achieve benchmark expectations.
* Partner with OneEHR team to optimize revenue cycle software to support all key healthcare billing functions.
* Partner with other corporate departments to provide education, guidance, and best practices related to healthcare billing, revenue cycle management, and effect of roles within the skilled nursing facility.
* Review denials, ADRs, and appeals to identify trends and opportunities for additional training, education or process changes.
* Research via publications and websites governmental regulations, Medicare, and other payer guidelines to assist with billing questions and develop/maintain training materials.
* Participate in onboarding and disengagement calls (as needed) for communities as the healthcare billing subject matter expert.
* Engage in various task forces as needed to support organizational priorities.
* Perform other duties and essential functions as needed.
What we're looking for:
* Bachelor's degree preferred with a minimum of 6 years related experience required.
* Senior living billing experience preferred.
* Excellent verbal and written communication skills required.
* Must have the ability to present complex information to audiences in clear and concise manner.
* Strong time management, organizational skills, and attention to detail required.
* Ability to analyze data and provide recommendations in a succinct manner.
Why Join Us?
* Industry Leader.
* Inclusive & collaborative culture.
* Top Workplace USA.
* Top Workplace Iowa.
* Charity and community involvement.
* Outstanding advancement opportunities.
* Ongoing career development.
Benefits
Competitive pay, great benefits and vacation time. We are an equal opportunity employer with benefits including medical, dental, life insurance, disability, 401(K) with company match and paid parental leave.
Our Commitment
LCS creates living experiences that enhance the lives of seniors. You'll see this commitment in our people. They're talented, dedicated professionals who truly care about residents, with each conducting his or her work with integrity, honesty and transparency according to the principles of LCS. We strive to help every community succeed-strengthening available resources, establishing proven practices that lead to long-term growth and value for those living in, working for and affiliated with the community. Check us out on our website: *************************
Additional Information
Travel frequency: 0-10%
Estimated Salary: $96,000 - $120,000
The actual title & salary will carefully consider a wide range of factors, including your skills, qualifications, experience, and other relevant factors.
A POST-OFFER BACKGROUND CHECK, INCLUDING REFERENCES IS REQUIRED.
LCS IS AN EQUAL OPPORTUNITY EMPLOYER.
$96k-120k yearly Auto-Apply 60d+ ago
Looking for a job?
Let Zippia find it for you.
Biller/Coder (Full-Time)
The Iowa Clinic, P.C 4.6
Billing specialist job in West Des Moines, IA
The Iowa Clinic is looking for a Biller/Coder for our West Des Moines, IA location. This is an onsite position with our Central Billing Office. This role will be responsible for utilizing proficiency in ICD-9 and ICD-10 and CPT coding knowledge. The Biller/Coder will be responsible for performing duties associated with auditing patient treatment codes and levels of service on physician consult in various specialties with The Iowa Clinic.
Looking for a career where you love what you do and who you do it with? You're in the right place. Healthcare here is different - we're locally owned and led by our physicians, and all decisions are always made right here in Central Iowa. By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.
Think you've got what it takes to join our TIC team? Keep reading…
A day in the life…
Wondering what a day in the life of a Biller/Coder at The Iowa Clinic might look like? You will:
* Perform duties associated with auditing patient treatment codes and levels of service on physician consults.
* Utilize proficiency in ICD-9 and ICD-10 and CPT coding knowledge.
* Work closely with the Central Billing Office in refiling using a more appropriate code and/or proper submission of supporting materials to optimize reimbursements.
This job might be for you if…
Education
* High school diploma or equivalent required.
* Certified Coding Specialist preferred.
Qualifications
* Previous experience working in a medical office and a working knowledge of ICD-9 and/or ICD-10 and CPT coding and Medicare exclusions required.
* Exposure to different types of insurance programs preferred.
* Ability to work in a fast-paced environment
What's in it for you
* One of the best 401(k) programs in central Iowa, including employer match and profit sharing
* Employee incentives to share in the Clinic's success.
* Generous PTO accruals and paid holidays.
* Health, dental and vision insurance
* Employee rewards and recognition program
* Health and wellness program with up to $350/year in incentives
* Training and development opportunities
* All employee meetings, team huddles and transparent communication
* Employee feedback surveys
* Quarterly volunteer opportunities through a variety of local nonprofits
* Opportunities to have fun with your colleagues, including The Iowa Clinic night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on.
$36k-41k yearly est. Auto-Apply 7d ago
Patient Flow Representative - Des Moines Medical Center - Full Time
Regional Health Services of Howard County 4.7
Billing specialist job in Des Moines, IA
Patient Flow Representative Job Purpose: The patient flow Rep collaborates with nursing and ancillary departments to ensure appropriate placement of patients based on diagnosis, physician preference with consideration of bed availability at both MercyOne Des Moines/West Des Moines campuses. Responsible for monitoring census capacity and alerting the leadership team upon thresholds for activation of Peak Capacity Plan level activation. Responsible for bed flow functions including bed ordering, appropriate room assignments, assisting with direct admit requests and maintaining accurate bed availability information. This job description covers the most significant duties performed, but does not exclude other occasional work assignments not mentioned.
Hours:
Mixed/Varied shifts
36 hours/week
12 hours shifts
Job Duties:
* Maintains knowledge of floor specialty and physician preferences related to patient placement
* Aide with creation and updating of Clinical Road Maps and Patient Placement protocols
* Communicate and coordinate high priority patient movement and navigate barriers to patient placement
* Utilizes knowledge of current census information and potential inpatient bed needs to project accurate and appropriate placement of incoming patients
* Act as an expert and Super-User for Bed Management software platform
Minimum Qualifications:
* High school diploma or GED required.
* Knowledge of Medical Terminology required.
* Minimum 2 years previous experience in a health care setting
Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$29k-33k yearly est. 5d ago
Billing Representative III
PHC Primary Health Care
Billing specialist job in Des Moines, IA
Are you looking for an opportunity to do amazing work helping others? You've come to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery Engebretsen in Des Moines, IA. Our mission has remained unchanged since that time, to provide healthcare and supportive services to all, regardless of insurance, immigration status, or ability to pay.
Based on the needs of the communities we serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC's Homeless Support Services is the entry point for serving people experiencing homelessness in Polk County. Enabling services are available to help patients with benefits enrollment, case management, transportation, translation, and patient education. We currently have locations in Ames, Des Moines, & Marshalltown.
As a Billing Representative III, you will be is responsible for timely and accurate submission, payment posting and follow up of medical and/or dental claims on behalf of PHC. Provides work direction and conducts the training and auditing of the first and second level Billing Representatives. Routinely interacts with various internal and external contacts, including management, third party payers, government agencies and fiscal intermediaries to effectively file claims, research and resolve rejections and denials. Completes daily and monthly reporting, ensuring compliance with all State and Federal and third-party payer requirements regarding confidentiality and billing. Responds in a timely manner to billing or patient account inquiries. Demonstrates iCare values in daily work.
What's Great About this Position?
* Earn 4 weeks of PTO throughout your first year of employment and enjoy paid holidays as well.
* Continue to develop your skills and grow your career through PHC's training opportunities including: PHC University, Emerging Leaders, and medical and dental assistant training programs.
* Work in a collaborative team atmosphere in a fast paced environment.
What You Will Do
* Facilitates training for the billing team. Provides one-on-one and group training to new and existing staff using various approaches such as but not limited to on-the job training, written manuals and demonstration. Communicates on-going support, cross training, and feedback to the billing team members as needed. Provides feedback to the Director of Revenue Cycle on team members who may need additional performance coaching. Creates and maintains training workflows and documentation to represent current practices via auditing, workflows monthly.
* Conducts daily and weekly audits of accounts and batches to ensure all unapplied funds have been applied correctly and that all posted payments have moved claims to the appropriate status. Provides feedback to Practice Management Support as needed with appropriate follow up on system issues as discovered.
* Serves as billing team leader, including delegating tasks in the absence of the Director of Revenue Cycle, completing month end closing procedures, and working necessary financial reports. Collaborates with Director of Revenue Cycle to set priorities for excellent productivity. Monitors billing team work completion, identifies priorities, and assigns tasks to team members. Delegates specific tasks forwarded by COS/HBS staff for immediate resolution.
* Works effectively to maintain billing rejects to a rate of less than 5% through audits and training, group and individual training.
* Completes daily input of charges and ensures compliance with established goals for billing, including the timely submission of all clinic charges and daily editing, ensuring appropriate coding, pay codes, etc. Ensures compliance with all State and Federal patient financial service requirements, including, but not limited to patient-rights, confidentiality, and third-party billing.
* Responds appropriately to inquiries on accounts by patients or third-party payors. Reviews and disseminates incoming correspondence, including mailed denials, within 48 hours of receipt.
Qualifications You Need to Bring
Required:
* Associates degree or equivalent combination of education and experience.
* Minimum of 3 years of experience in healthcare billing and using healthcare billing software.
* Experience working with CDT/CPT codes for all dental/medical insurance carriers.
* Experience working with CDT/CPT and ICD-10-CM coding related to managed care programs and dental/medical billing requirements.
* Experience working with dental/medical insurance contractual agreements, Medicare and Medicaid regulations, payment and recoupments.
* Reading and analysis skills with ability to interpret remittance advice with remark codes and denial information.
* Strong technical knowledge and expertise.
* Excellent written and verbal communication skills.
* Exceptional interpersonal and customer services skills.
* Excellent computer skills with proficiency using Microsoft Office applications.
* Training and facilitation skills.
Preferred:
* Team lead experience
* Bachelor's Degree in health information or related field
* Experience with electronic medical/dental records.
* Bilingual, verbal and written language proficiency.
* Community Health Center experience
We Take Care of Our People
Your experience and skills determine your base pay. The hiring range for this position is typically $18.65 - $23.32 per hour. Candidates with extensive work experience related to this position may be considered for additional compensation up to the pay grade maximum of $27.98 per hour. PHC also offers a comprehensive benefits package, including:
* Generous PTO accrual (equal to 4 weeks at end of 1st year) plus paid holidays
* License/certification fee reimbursement
* Paid time off for continuing education & continuing education reimbursement
* Tuition reimbursement program
* 401k with company match
* Medical, dental, and vision insurance.
* Life & disability insurance
* Flexible spending & health savings accounts
* Supplemental accident & critical illness insurance
* Discounts on pet insurance
Visit *************************** for a summary of PHC's benefits.
Join the PHC Community
| PHC Talent Community | Facebook | Instagram | LinkedIn | TikTok
Learn More About PHC
Monday - Friday, 8am - 5pm
40
$18.7-23.3 hourly 35d ago
Medical Billing Specialist
Wesleylife 3.7
Billing specialist job in Johnston, IA
Join WesleyLife and Help Revolutionize the Aging Experience! Discover how WesleyLife is redefining what it means to age well: The WesleyLife Way Why Work at WesleyLife? At WesleyLife, we're not just a workplace-we're a community that values your growth, well-being, and happiness. With over 78 years of excellence in senior living, we believe in empowering our team members to make a difference while enjoying a fulfilling, supportive, and rewarding work environment.
A Typical Day for a Medical BillingSpecialist at our Network Support Center:
* Manage Third Party billing across all WesleyLife branches, ensuring accurate and timely submission of claims.
* Stay updated on Medicare/Skilled billing regulations and implement necessary process changes for compliance.
* Understand Medicare and Commercial Insurance for co-insurance calculations, cash posting, and collections.
* Handle delinquent accounts and resolve credit balances.
* Maintain confidentiality of client and organizational information.
* Collaborate with various stakeholders including providers, finance staff, auditors, and state agencies.
* Update HCPC and RUG rates, PDPM and maintain billing software tables.
* Coordinate with Office Managers, Therapy Providers, and Directors of Nursing to ensure accurate billing and streamline operations.
* Communicate effectively with clients, responsible parties, and therapy providers regarding charges and financial information.
* Perform other duties as assigned, participate in projects, and collaborate with team members effectively.
What You'll Bring:
* 4-5 years of healthcare billing experience.
* Ability to manage multiple functions and schedules under pressure with changing priorities.
* Strong organizational skills and ability to meet billing deadlines.
* Excellent communication skills, both verbal and written, with clients, vendors, and team members.
* Professionalism in work ethic, attitude, and etiquette.
* Collaboration with internal and external resources while maintaining confidentiality.
* Attention to detail and the ability to work well in a team-oriented environment.
* Able to demonstrate strong problem-solving abilities, adept at resolving challenges independently and collaboratively.
Open Shift Available: Monday-Friday, 8am-4:30pm
Competitive Pay: The starting pay range for this position is $23.00 - $29.00 / hour and is based on your experience.
Community Location: 5508 NW 88th Street. Johnston, IA. 50131
What We Offer
We know a great career is about more than just a paycheck - it's about belonging, growth, and making a difference. At WesleyLife, we provide:
Health & Wellness:
* Comprehensive Benefits Package: Including health care, vision, dental, and 401(k).
* Discounted wellness center memberships and cash incentives for healthy habits
* Voluntary benefits including life, accident, and critical illness coverage
Education & Career Growth:
* Scholarship Assistance: Up to $3,000/year
* Tuition Reimbursement: Up to $1,500/year
* Educational Discounts: 18% off tuition at Purdue University Global
* Ongoing leadership training and development pathways
Extra Perks:
* Referral Bonus Program - bring your friends and earn rewards
* Recognition and appreciation programs that highlight your impact
* A workplace culture that prioritizes respect, teamwork, and support
Why Choose WesleyLife?
WesleyLife is proud to be recognized as one of Senior Care's Best Places to Work by WeCare Connect! We're committed to a workplace where every team member is seen, heard, and appreciated.
Ready to Make a Difference?
We're excited to meet people who share our passion for service, wellness, and community.
Apply today and help us continue to revolutionize the aging experience - the WesleyLife Way.
WesleyLife believes in welcoming all people to our team and is an equal opportunity employer. Because of our commitment to your health and well-being, you will be required to successfully complete a pre-hire health assessment, drug screen, and tobacco screen.
$23-29 hourly 29d ago
Patient Advocate Specialist - Des Moines, IA
Patient Funding Alternatives
Billing specialist job in Des Moines, IA
Job Description
Patient Advocate SpecialistDes Moines, IA
ChasmTeam is partnering with a growing national company to build a team that provides real benefits to patients! We are seeking hard-working, self-starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process.
This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience-all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care.
We're looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems.
Key Responsibilities
Patient Engagement & Advocacy
Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program.
Assess family dynamics and adapt communication style to effectively meet their needs.
Obtain necessary authorizations and documentation from patients/families.
Foster trust with patients while maintaining appropriate professional boundaries.
Demonstrate cultural competence and empathy when engaging with vulnerable populations.
HIPP Enrollment & Case Management
Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details).
Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions.
Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments.
Consistently deliver against performance metrics such as enrollments completed, case resolution time, and documentation accuracy.
Program Maintenance & Benefit Coordination
Clarify how employer-provided health insurance works in coordination with Medicaid.
Verify and update ongoing patient eligibility for HIPP to maintain continuity.
Assist with resolving insurance-related issues upon request from patients or clients.
Technology & Documentation
Utilize CRM/case management system to manage referrals and patient records.
Upload, scan, and securely transmit required documentation.
Record patient interactions meticulously in compliance with privacy and legal standards.
Efficiently operate Apple tools such as iPads and iPhones for enrollment-related tasks.
Client & Hospital Relationship Management
Represent the organization as the on-site contact at the hospital.
Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners.
Always uphold the organization's values with ethical integrity and professionalism.
Required Qualifications
High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management.
Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification.
Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening.
Preferred Qualifications
Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or related field.
Training in motivational interviewing, trauma-informed care, or medical billing/coding.
Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy.
Three to five years' experience in patient-facing roles within a healthcare setting.
Full Bilingual proficiency in Spanish is strongly preferred.
Core Skills & Competencies
Technical Skills-Preferred
Proficiency with CRM or case management systems.
Knowledge of Medicaid/Medicare eligibility and benefits coordination.
Ability to interpret medical billing and insurance documents.
Strong compliance-based documentation practices.
Interpersonal Skills
Active listening and empathetic communication.
De-escalation tactics for emotionally distressed patients.
Cultural awareness and sensitivity in communication.
Collaboration with cross-functional teams, including hospital and internal staff.
Key Traits for Success
Mission-Driven Advocacy - Consistently puts patient needs first.
Ego Resilience - Thrives amid adversity and changing demands.
Empathy - Provides compassionate support while ensuring professionalism.
Urgency - Balances speed and sensitivity in patient interactions.
Detail Orientation - Ensures accuracy and completeness in documentation.
Cultural Competence - Demonstrates respect and understanding of diverse experiences.
Adaptability - Successfully operates in evolving policy and procedural environments.
Why Join Us?
As a Patient Advocate, you'll make a real difference-helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance and more.
Salary: $55.000/year, plus the opportunity to earn monthly performance-based bonuses.
$31k-38k yearly est. 23d ago
Pharmacy Billing Specialist
Guardian Pharmacy 4.4
Billing specialist job in Ankeny, IA
Ankeny, Iowa, United States of America
Extraordinary Care. Extraordinary Careers.
With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Right Dose Pharmacy, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Ankeny, Iowa.
Why Right Dose Pharmacy? We're reimagining medication management and transforming care.
Who We Are and What We're About:
Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.
SCHEDULE: MONDAY-FIRDAY VARYING SHIFTS BETWEEN 8A-6P.
Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.
ATTRIBUTES REQUIRED:
Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy
Relational - ability to build relationships with business unit management and become “trusted advisor.”
Strategy and Planning - ability to think ahead, plan and manage time efficiently.
Problem Solving - ability to analyze causes and solve problems at functional level.
Team Oriented - ability to work effectively and collaboratively with all team members.
ESSENTIAL JOB FUNCTIONS (include the following):
Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
May pursue payment from delinquent accounts and make payment arrangements.
Research, identify and organize requested audit documentation in timely manner.
Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
Rotate through other departments to gain working/functional knowledge of other department workflows.
Follow all applicable government regulations including HIPAA.
Work as a collaborative team member to meet the service goals of the pharmacy.
Other essential functions and duties may be assigned as needed.
EDUCATION AND/OR CERTIFICATIONS:
High School Diploma or GED required.
Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).
SKILLS AND QUALIFICATIONS:
1+ years of related experience
Advanced computer skills; pharmacy information system experience preferred.
Ability to work independently and deliver to deadlines.
Great attention to detail and accuracy
Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
Quality minded; motivated to seek out errors and inquire about inaccuracies.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.
The noise level in the work environment is usually low to moderate.
Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
Requires desk work in office environment.
Ability to work flexible hours.
What We Offer:
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”
Compensation & Financial
Competitive pay
401(k) with company match
Family,
Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
Medical, Dental and Vision
Health Savings Accounts and Flexible Spending Accounts
Company-paid Basic Life and Accidental Death & Dismemberment
Company-paid Long-Term Disability and optional Short-Term Disability
Voluntary Employee and Dependent Life, Accident and Critical Illness
Dependent Care Flexible Spending Accounts
Wellbeing
Employee Assistance Program (EAP)
Guardian Angels (Employee assistance fund)
Time Off
Paid holidays and sick days
Generous vacation benefits based on years of service
The Guardian Difference
Our clients require pharmacy services that aren't “cookie cutter.” That's why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients' needs.
Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.
Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today's dynamic business environment.
At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.
Join us to discover what your best work truly looks like.
$30k-40k yearly est. Auto-Apply 43d ago
Insurance Follow-Up Specialists
Healthcare Support Staffing
Billing specialist job in Des Moines, IA
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Are you an experienced Medical Biller or Insurance Follow-up Specialist in the Des Moines, IA area seeking a great career opportunity? Have you recently been seeking out prestigious, national healthcare companies with which to further your longterm goals? Are you seeking REAL advancement opportunities in-house with a Fortune 500 company? If you answered “yes" to any of these questions - then this opportunity may be for you!
**These are Temp-to-Permanent openings, so we CAN beat your current payrate during the training period. Offers will only be made to candidates who display career aspirations, as this is NOT a short-term opportunity**
Daily Responsibilities:
In this role, you will be conducting insurance follow-up on all final billed claims. You will be conducting research on denied claims and taking steps towards resolution. Qualified candidates will be responsible for correcting claims errors and re-submitting claims for payment. This role does require intermediate starting experience with Microsoft Word & Excel to maintain/update spreadsheets and reports.
Shift:
Monday-Friday / 8:00 am - 5:00 pm (hours will be flexible beyond initial training)
Advantages of this Opportunity:
Competitive hourly pay above regional average!
Longterm stability and individual professional growth potential from a national Healthcare company that continues to grow!
Daytime, weekday schedule.
You will have the opportunity to add great experience to your resume, while getting the chance to network with several future colleagues in a highly-competitive insurance claims field.
Qualifications
1+ RECENT years of medical billing or insurance follow-up experience from a hospital, physician group, or third-party setting
Previous experience with either UB-04, UB-92, or HCFA1500 claims forms
Full understanding of the insurance denials / appeals process
Excellent computer skills with emphasis on use of Excel spreadsheets
High School Diploma or GED
Additional Information
Interested in hearing more about this great opportunity? Reach out to Eric Westerfield at HealthCare Support Staffing for IMMEDIATE, SAME-DAY consideration. Interviews are being held THIS WEEK and immediate offers will be extended. Click APPLY NOW for more information; we look forward to hearing for you!
$28k-37k yearly est. 7h ago
Billing Specialist
Business Office 4.3
Billing specialist job in Boone, IA
We are looking for a motivated, detail-oriented individual to join our Clinic Business Office team. We offer a team approach to healthcare, competitive pay, and great benefits.
Status: Full-Time - 40 Hours per Week
Shift: Day - 8:00 a.m. to 4:30 p.m.
Days: Monday through Friday
Benefits:
Medical Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Life insurance
Aflac
Short-term and long-term disability coverage
Wellness program and reimbursement
Free access to Boone County Hospital's onsite fitness room
Generous PTO Accrual Plan
Iowa Public Employees Retirement System (IPERS)
Employee Assistance Program (EAP)
Onsite Cafeteria
Salary Scale: $18.10-25.27
POSITION SUMMARY:
This position will be responsible for performing 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 requires utilization of data coming from multiple resources.
BCH POLICY STATEMENT:
It is the obligation of each employee of Boone County Hospital (BCH) to abide by and promote BCH's mission, values, Code of Conduct, Standards of Behavior, policies, procedures, and related practices. This includes policies relating to Compliance, Infection Control and Safety.
HIPAA SECURITY COMPLIANCE:
Boone County Hospital is committed to following all federal guidelines related to privacy and security. All employees will be held to the highest standard of confidentiality and will be required to annually sign an employee confidentiality agreement that outlines the rules and expectation for every BCH employee. Failure to abide by these guidelines could lead to disciplinary action including termination.
Security Access: High Incumbent has access to restricted or confidential patient information and must comply with the terms of the BCH privacy & security policies as it applies to their job.
BEHAVIORAL REQUIREMENTS:
Boone County Hospital has developed standards for behavior expectations of all employees. Please refer to the Boone County Hospital Standards of Behavior.
ESSENTIAL FUNCTIONS:
Resolve billing errors and edits 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
Other duties as assigned by the Patient Financial Service Director
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
Prefer one year of experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing and or financial counseling.
High School Diploma or GED
Interpersonal skills
Written and verbal communication
Basic computer skills
Motivation, teamwork and professionalism
Customer/Patient focused
Planning and organizational skills
PHYSICAL ACTIVITY REQUIREMENTS:
EQUIPMENT/TOOLS:
Operate office equipment such as computers, printers, copy machine, calculator, facsimile, multi-line phone system, and scanners.
WORKING CONDITIONS:
Typical working conditions include sitting at a desk for extended periods, while working on a computer or talking on the phone.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.
Hearing must be in the normal range for telephone contacts and other conversations.
The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.
$18.1-25.3 hourly 41d ago
Sr, Specialist, Account Management (PSAO Support)
Cardinal Health 4.4
Billing specialist job in Des Moines, IA
**What Account Management contributes to Cardinal Health** The Customer Care Account Management Representative serves as the primary point of contact for approximately 6,000+ retail independent pharmacies, VIP buying groups, and hospital systems. Reps are expected to resolve issues efficiently while maintaining strong relationships with customers and sales representatives. This role manages 15-40 daily interactions via phone, inquiry intake form, and live chat, addressing complex topics including but not limited to pharmacy reimbursement, PBM contracting and affilation, claim adjudication, credentialing, and PSAO onboarding serving as the main conduit to Cardinal Health's PSAO's (LeaderNET, MSInterNet, and MCC).
Furthermore, this role acts as a dedicated single point of contact for both Product and Solutions inquiries, as well as PSAO-related questions, for our Topco buying group and Health System group.
Customer Care Account Management Representatives are responsible for ensuring the smooth operation of pharmacy back-office functions and providing expert support related to Managed Care and PSAO inquiries.
This role operates in a dynamic, high-volume environment requiring exceptional communication skills and the ability to confidently engage with key stakeholders via telephone. Candidates must demonstrate a commitment to delivering seamless customer service, exhibiting strong personal leadership, interpersonal skills, and effective communication techniques. The ability to successfully navigate escalated customer and sales-related calls is essential. Prior experience with Managed Care and PSAOs, pharmacy reimbursement processes, PBM contracts, and in-store pharmacy operations is highly desirable
**Shift: Monday-Friday 8:00AM-5:00PM EST**
**Responsibilities**
+ Will possess Tier 1 knowledge of all PSAO focuses
+ Working and routing Inquiry Intake Forms for PSAO Support
+ Customer outreach through email and over the phone
+ Manage an average of 10-20 customer cases at a time
+ Answer an average of 15-40 incoming calls per day from pharmacy staff and Sales Team
+ Act as the designated Managed Care representative in recurring meetings with pharmacy chains and buying groups, addressing inquiries and providing updates
+ Attend and contribute to daily CCAM Team huddles and scheduled PSAO/Pharmacy group meetings, fostering collaboration and knowledge sharing.
+ Attend and engage in cross-departmental meetings
+ Act as a primary point of contact for pharmacy buying groups and hospital systems (e.g., Topco pharmacies and Health Systems) regarding Product & Solutions and PSAO-related Tier 1 inquiries
+ Lead and moderate New Customer Orientation calls, ensuring a positive and informative experience for newly onboarded pharmacy customers
+ Participate fully in the Mentorship Program, embracing opportunities to both mentor colleagues and be mentored to enhance skills and knowledge
+ Confident, articulate, and professional speaking and writing abilities
+ Ability to effectively apply de-escalation techniques during customer interactions
+ Ability to use resources and critical thinking skills to navigate grey areas in customer and sales interactions
+ Maintain structured and organized day-to-day responsibilities
+ Adaptable to the fluctuating healthcare landscape and open to new ideas and concepts
+ Acts as an advocate and liaison between the customer and the PSAO
+ Applies basic concepts, principles and technical capabilities to perform routine tasks
+ Responsible for identifying and tracking customer pain points
+ Proficiency in collaborating with colleagues in a virtual setting, maintaining a high level of professionalism and respect
+ Maintain required phone coverage levels and proactively communicate any potential deviations to the team
+ Able and willing to independently troubleshoot technical issues
+ Implement processes that improve overall customer experience
**Qualifications**
+ 1-3+ years of previous customer service experience, required
+ Managed care, reimbursement, and PBM knowledge, preferred
+ Pharmacy experience and/or Pharmacy Technicians, preferred
+ Prior computer experience using Microsoft Office systems, required
+ Proficiency in verbal and written communication, with a demonstrated commitment to active listening and effective interpersonal interactions.
+ Demonstrates organizational skills and a commitment to detail, ensuring high-quality work and adherence to standards
+ Possesses a strong work ethic and team player mentality
+ Possesses a professional and empathetic approach, exhibiting patience and a positive attitude when collaborating with peers and serving customers
+ Demonstrates skill in establishing rapport and fostering effective communication with Sales
**What is expected of you and others at this level**
+ Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possbile solutions to a variety of technical problems and takes actions to resolve
+ Applies judgment within defined parameters
+ Receives general guidance may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $57,000- $81,600
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 3/24/2026*if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$57k-81.6k yearly 2d ago
Account Representative
Crown Equipment Corporation 4.8
Billing specialist job in Des Moines, IA
: Crown Equipment Corporation, one of the world's largest lift truck manufacturers, offers local support on a global scale with more than 15 manufacturing facilities worldwide and more than 500 retail locations in over 80 countries. Our global sales and service network provides our customers with a local resource for a wide variety of quality material handling equipment, fleet management solutions, warehouse products and support services to meet their needs anytime, anywhere.
Job Posting External
Job Duties
* Responsible for maximizing the sale of lift trucks, Crown Insite products, and warehouse products within a specified territory to meet sales objectives.
* Develop existing accounts and seek new business.
* Analyze opportunities, identify key personnel, and develop strong business relationships.
* Consult and problem solve to enhance the Company's position in existing and target accounts.
* Develop a territory management plan to maximize time with customers.
* Develop sales strategies, proposals, and forecasts.
* Develop and conduct product demonstrations and sales presentations.
* Utilize online resources to maintain accurate records of sales calls, customer files, and sales activity information
* Participate in initial and ongoing training programs both locally and at the New Bremen, Ohio corporate headquarters.
Minimum Qualifications
* Less than 2 years related experience
* High school diploma or equivalent.
* Valid driver's license, good driving record, and the ability to safely operate lift trucks for product demos.
Preferred Qualifications
* Bachelor degree in business management, marketing, entrepreneurship, professional selling, or related business program, or several years of successful sales experience a plus.
* Knowledge of the entire sales process.
* Strong communication, organizational, and time management skills.
* Strong problem-solving capabilities, strong sense of responsibility and self-motivation, and ability to work in a team environment.
* Intermittent computer skills including a working knowledge of Microsoft Office Suites.
* Ability and willingness to work outside normal business hours to prepare for sales activities.
* Ability to work in a team environment.
Work Authorization:
Crown will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas or who need sponsorship for work authorization now or in the future, are not eligible for hire.
No agency calls please.
Compensation and Benefits:
Crown offers an excellent wage and benefits package for full-time employees including Health/Dental/Vision/Prescription Drug Plan, Flexible Benefits Plan, 401K Retirement Savings Plan, Life and Disability Benefits, Paid Parental Leave, Paid Holidays, Paid Vacation, Tuition Reimbursement, and much more.
EOE Veterans/Disabilities
Nearest Major Market: Des Moines
Job Segment: Sales Rep, Outside Sales, Warehouse, Business Manager, Sales, Manufacturing, Management
$33k-38k yearly est. 50d ago
Account Representative - State Farm Agent Team Member
Scott Richardson-State Farm Agent
Billing specialist job in Nevada, IA
Job DescriptionBenefits:
Simple IRA
License reimbursement
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Scott Richardson - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
$30k-43k yearly est. 28d ago
Account Representative - State Farm Agent Team Member
Matt Kolln-State Farm Agent
Billing specialist job in West Des Moines, IA
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Competitive salary
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Matt Kolln - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
$30k-43k yearly est. 25d ago
Account Representative - State Farm Agent Team Member
Brad Van Meter-State Farm Agent
Billing specialist job in Des Moines, IA
Job DescriptionBenefits:
Salary plus commission/bonus
401(k)
Bonus based on performance
Competitive salary
Flexible schedule
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Brad Van Meter - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
$30k-43k yearly est. 21d ago
Patient Access Representative
Cottonwood Springs
Billing specialist job in Clive, IA
Your experience matters
At MercyOne Clive Rehabilitation Hospital, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
What we offer
Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off
Employee Assistance Program - mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
And much more...
Patient Access Representative
Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. Interviews patients for all pertinent account information and verifies insurance coverage.
Reports to: Assistant Director of Patient Registration
Education: High school diploma or equivalent Required or 3 years of directly related experience may be substituted for the required education.
Essential Functions: Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate.
Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment.
Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.
Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.
Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable.
Collects co-pays and other funds from patients based upon established criteria.
EEOC Statement: MercyOne Clive Rehabilitation Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
$29k-37k yearly est. Auto-Apply 9d ago
Insurance Billing Specialist (53767)
YSS
Billing specialist job in Ames, IA
YSS is looking for a meticulous organizer, a people-person, and a problem-solver who genuinely cares about helping clients and teams succeed to join our team as an Insurance BillingSpecialist-someone who can help our revenue cycle run smoothly and while delivering a top-notch client experience. In this role, acting as the bridge between YSS, our clients, and the third-party billing agency, you'll ensure every billing, coding, insurance verification, and documentation process is handled with accuracy, timeliness, and care. You'll also be the go-to expert for our clinical and intake teams-offering technical know-how, training, and support to reduce billing hiccups and boost reimbursement. Reporting to the Director of Outpatient Operations, you'll work closely with both the Revenue Cycle Management (RCM) and Welcome Teams to keep everything connected and running seamlessly.. What You'll Do
Keep billing operations on track by overseeing our third-party billing partner.
Team up with Intake, Scheduling, and Clinical staff to spot and fix billing delays.
Verify insurance benefits across all programs and document clear cost estimates for clients.
Enter insurance details, authorizations, and demographics in CareLogic-accurate and on time.
Manage returned mail and keep client records current.
Contact clients about balances or payment plans and support the Welcome Team with daily balance/copay updates.
Share key reports on denials, receivables, and collection trends with leadership.
Communicate billing and coding changes, and flag complex claim issues to the RCM team.
Help clients complete Sliding Fee Scale (SFS) applications and maintain compliant records.
Recommend process improvements that boost revenue and cash flow.
Be the go-to person for billing questions and EMR training.
Update billing and intake procedures as needed.
Prepare data reports and summaries for leadership.
Please know this is not a complete list of the position's responsibilities. Duties may change or be added at any time.
What you can expect in return. We believe in your potential, we meet you where you are, and we invest in your future. Beyond meaningful, mission-driven work, YSS provides the following benefits:
Medical, dental, vision, and life insurance
Supplemental accident, critical illness, and hospital indemnity insurance
Accrued PTO, plus paid time off for holidays, your birthday, and volunteering
Employee Assistance Program
Pet insurance discounts
PSLF Program qualification
Recognition, training, and wellness programs
Retirement saving options
This isn't just a job - it's a chance to be the spark in someone's story. If you're ready to inspire, connect, and lead with purpose, apply today and become part of something meaningful at YSS.
Qualifications
To create a world where youth are valued and empowered, we ask staff to embrace YSS core values - Commitment, Collaboration, Compassion, Innovation, Integrity, and a ”Can Do” Spirit. We also ask for the following: MUST HAVES - Required Qualifications
Bachelor's degree in healthcare administration, business, accounting, or a related field.
Minimum of 2 years' experience in insurance billing, coding, or revenue cycle management, ideally in behavioral health or healthcare.
Solid knowledge of insurance verification, prior authorizations, and billing regulations, including Medicaid and commercial plans.
Strong understanding of HIPAA regulations and experience handling sensitive health and financial information confidentially.
Proficiency with EMRs (preferably CareLogic) and reporting tools.
The IDEAL candidate is...
Familiar with mental health and substance use billing, including program-specific requirements and documentation best practices.
Highly attentive to detail and able to manage multiple tasks under deadlines.
Experienced with financial assistance programs, including Sliding Fee Scale (SFS) processes and documentation.
Professional in representing YSS to clients, staff, and partners.
A clear and effective communicator, able to explain complex billing information to clients and staff.
A problem-solver, able to identify trends and recommend process improvements.
A self-starter who takes initiative and works independently.
A collaborative team player who works effectively across multiple teams.
Mission-driven, with a strong commitment to equity, inclusion, and positive social impact.
Approaches work with humility, respect, and sensitivity to diverse identities and lived experiences.
Who You Are You're someone who loves keeping things organized but also thrives on connecting with people. You notice the small details that keep billing running smoothly, but you never lose sight of the clients and teams behind the numbers. You're a problem-solver who can tackle tricky insurance questions without breaking a sweat, and a natural communicator who explains things clearly and compassionately. You're collaborative, tech-savvy, and dependable-someone your teammates trust to have their back. And above all, you genuinely care about helping clients and colleagues succeed, making every interaction count. If this sounds like you, then you're exactly who we're looking for! We celebrate the strength in your story. Have you navigated recovery from addiction, mental health challenges, trauma, or housing instability? Your lived experience offers a unique, compassionate perspective that can inspire real change. By sharing your story and serving as a role model or mentor, you can make a meaningful impact in the lives of youth and families. Your journey matters. If you're ready to use it to uplift and empower others, we warmly encourage you to apply. For those in recovery, we typically ask for two years of sobriety to ensure stability and readiness for leadership, though candidates with one year may be considered case by case. Who we are (and why you'll love us)... We're YSS - one of Iowa's oldest & largest nonprofits dedicated to putting kids first. Our mission? To spark hope, create opportunities, and help young people thrive. With life-changing programs, a passionate leadership team, and our brand-new 50-acre recovery campus, we're growing fast and thinking big. Check us out at yss.org! At YSS, we celebrate the unique backgrounds, identities, and experiences that each team member brings. As an Equal Opportunity Employer, we are dedicated to creating a respectful, inclusive, and empowering environment where everyone can grow and succeed. And we're always working to do better, together. YSS is a nicotine-free workplace. Heads Up! Don't Miss Our Messages! - We communicate with applicants via email - straight from our Paycom system. So be sure to keep an eye on your inbox (and maybe your spam/junk folder too). Got questions? Email *********** - we're happy to help! The YSS Hiring Process
Apply - Fill out the online app at yss.org/ysscareers.
Assessment - We'll check out your skills and experience.
Interview - Phone, video, or in-person - we'll chat and get to know you.
References - Send us three+ people who can sing your praises.
Screening - Background and driving checks (plus license verification if needed).
Offer - If it's a match, you'll get a formal offer through Paycom.
* Applicable Degrees: Accounting, Behavioral or Mental Health Administration, Business Administration, Finance, Health Information Management, Healthcare Administration, Human Services, Medical Billing and Coding, Public Administration, Public Health Keywords:Account, Accuracy, Analytics, Authorization, Benefit, Billing, CareLogic, Claims, Client-centered, Coding (CPT, ICD-10), Collaboration, Collections, Communication, Compliance, Confidentiality, Coordination, Data, Denial, Detail, Documentation, Electronic Medical Records (EMR), Entry, Financial, HIPAA, Insurance, Management, Medicaid, Medicare, Patient, Payment, Posting, Problem-solving, Processing, Professionalism, Receivable, Reimbursement, Reporting, Revenue, Sliding Fee Scale (SFS), Verification
$28k-37k yearly est. Easy Apply 17d ago
Insurance Specialist
Association Member Benefits Advisors
Billing specialist job in Urbandale, IA
AMBA is seeking a talented Life and Health Insurance Specialist to join our growing team! We are looking for someone who is detail-oriented, a critical thinker, and highly adaptable and can thrive in an agile, team-oriented environment.
About AMBA
Since 1981, AMBA has been a trusted provider of essential coverage for retired public servants nationwide. Our reach extends to diverse groups, including hardworking public employees, state retirees, educators, military personnel, trade professionals, firefighters, law enforcement, Unions, Alumni groups, Allied Healthcare, and other non-profit associations. As a full-service marketing and membership development company, we proudly offer outstanding insurance services to our vast network of 44 million members across 450+ associations in all 50 states.
Benefits
Comprehensive benefits package including medical, dental, and vision insurance, spending accounts, and other voluntary benefits.
Annual Bonus Program.
Corporate 401k Matching.
Generous time off including vacation days, 10 paid company holidays, and paid parental leave.
Sick time that can be used for both physical and mental wellness days.
Community Involvement perks, including 1 paid day off each year to volunteer with a local charity of your choice and company volunteer events.
Free, confidential counseling and support through our Employee Assistance Program (EAP).
Support & development to cultivate your knowledge and continuing education to support your professional designations.
Business casual dress code.
Hybrid work arrangement.
About the Role
The Insurance Specialist supports the organization by ensuring accurate and timely processing of all policy transactions. This role is responsible for completing all functions associated with the record maintenance system, inputting transactions across multiple systems, and maintaining accurate records. As an entry-level individual contributor, this role applies attention to detail, critical thinking, and analytical skills to deliver high-quality work while continuing to develop expertise through collaboration with managers and senior team members.
Day to Day
Process applications, determines eligibility, and issues or declines coverage.
Ensure correct processing guidelines are used for each application, change, and update received from clients.
Perform follow up process as needed by matching issuance output to files and verifying correspondence.
Order system letters for missing information and approvals, creates free form letters, and ensures that proper documentation is recorded.
Communicate with colleagues to obtain or provide information.
Manage tasks according to guidelines to meet departmental standards, based on turnaround time, quality and production standards and client/carrier specific guidelines.
Collaborate with internal teams to ensure alignment with operational standards and regulatory requirements, while identifying opportunities to improve efficiency and accuracy.
Other duties as assigned.
Requirements
High school diploma or equivalent.
Strong organizational and time-management skills, with the ability to prioritize tasks and meet production requirements.
Excellent written and verbal communication skills to effectively interact with both internal and external customers.
Detail-oriented, ensuring accuracy in all work.
Quick thinker with the ability to adapt to changing priorities and environments.
Proficient in navigating multiple systems independently.
Skilled in Microsoft Word, Outlook, and Excel.
AMBA is an equal opportunity employer committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. We value diversity and the skills, knowledge, and experience that difference brings to our culture, attracting top talent with shared values and forming the foundation for a great place to work.
$28k-37k yearly est. 60d+ ago
Account Representative - State Farm Agent Team Member
Chad Kuehl-State Farm Agent
Billing specialist job in Indianola, IA
Job DescriptionBenefits:
License reimbursement
401(k)
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Chad Kuehl - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
$30k-43k yearly est. 27d ago
Account Representative - State Farm Agent Team Member
Nick Hageman-State Farm Agent
Billing specialist job in Waukee, IA
Job DescriptionBenefits:
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
About Our Agency:
Our agency is entering its fifth year in business this January and is supported by a close knit team of three sales professionals, one service team member, and myself. We believe in recognizing hard work and creating an environment people enjoy coming to each day, offering bonuses, paid time off, and regular team lunches or dinner outings. I studied Agribusiness Economics and Management at the University of Arizona before transferring to the University of Utah, where I earned my Bachelors degree in Speech Communications. I am actively involved with the Waukee Chamber of Commerce through event participation and sponsorships, and I was honored to be named the 2022 Waukee Area Chamber of Commerce Small Business of the Year. Our office culture is truly unique and empowering, providing our team with the tools and resources to have meaningful, holistic conversations with customers and prospects in order to understand their needs and help protect what matters most. The environment is fun, fast paced, relationship driven, and highly collaborative, with a team that works together seamlessly each day.
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Nick Hageman - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
$30k-43k yearly est. 23d ago
Account Representative - State Farm Agent Team Member
Bob Smith-State Farm Agent
Billing specialist job in Waukee, IA
Job DescriptionBenefits:
Hiring bonus
401(k)
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Bob Smith - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist clients with policy applications and renewals.
Handle client inquiries and provide timely responses.
Maintain accurate records of client interactions.
QUALIFICATIONS:
Strong communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
How much does a billing specialist earn in Des Moines, IA?
The average billing specialist in Des Moines, IA earns between $25,000 and $41,000 annually. This compares to the national average billing specialist range of $27,000 to $45,000.
Average billing specialist salary in Des Moines, IA
$32,000
What are the biggest employers of Billing Specialists in Des Moines, IA?
The biggest employers of Billing Specialists in Des Moines, IA are: