Insurance Billing and Follow Up Specialist II - UnityPoint Health

We're seeking a part-time Insurance Billing and Follow Up Specialist II. In this role you will be responsible for performing all 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 regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances

Shift: Part-time

Location: Onsite- Des Moines, Iowa Billing Office

Why UnityPoint Health?

• Commitment to our Team – For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members. 
• Culture – At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve. 
• Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. 
• Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. 
• Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience. 
• Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve. 

Visit https://dayinthelife.unitypoint.org/ to hear more from our team members about why UnityPoint Health is a great place to work. 

Billing and Follow Up Responsibilities

• Resolve billing errors/edits, including accounts with Stop Bills and “DNBs” 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

Education:

High school graduate or GED equivalent

Experience:

Medical billing experience

License(s)/Certification(s):

Valid driver’s license when driving any vehicle for work-related reasons. N/A

Knowledge/Skills/Abilities:

Interpersonal skills Written and verbal communication Basic computer skills Motivation Teamwork Customer/Patient focused Professionalism Planning and organizing skills Technical aptitude- ability to learn new systems quickly. Problem-solving Microsoft Excel/Word/Outlook

Other:

Use of usual and customary equipment used to perform essential functions of the position. Epic May occasionally require travel to other UPH sites