Top 47 Claims specialist Jobs in Des Moines Ia

Coding Specialist
Mission Cancer + Blood —Des Moines, IA
- Full-time
- Background check
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Senior EHS Specialist
The Marzetti Company —Altoona, IA
- Full-time
- Bachelor's degree
- Continuous improvement
- Case management
Medical Billing Specialist
Lakeview Surgery Center —West Des Moines, IA
- $22 - $28 an hour
- Full-time
- HIPAA
- Mid-level
- US work authorization
- Health savings account
- Disability insurance
Quick Apply
13d
Accounts Payable Specialist
GRAND VIEW UNIVERSITY —Des Moines, IA
- Online Application
- Background check
- Word processing
- Computer literacy
Claims Specialist
Sammons Financial Group —West Des Moines, IA
- $37,650 - $70,595 a year
- Full-time
- Writing skills
- Research
- Mid-level
- Health savings account
- Paid holidays
8d
Program Specialist (OPR)
State of Iowa —Des Moines, IA
- $23.73 - $37.52 an hour
- Full-time
- Writing skills
- Mid-level
- Office
Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Des Moines, IA
- $62,460 - $83,400 a year
- Weekends as needed
- Remote
- Bachelor of Science
- Mid-level
- High school diploma or GED
- 401(k) matching
3d
Sr. Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Des Moines, IA
- $74,295 - $99,050 a year
- Full-time
- Remote
- Spanish
- Bachelor of Science
- 3 years
- 401(k) matching
3d
Claims Specialist I
AIG Claims, Inc. —West Des Moines, IA
- Email
- Mid-level
- Office
- Organizational skills
- Health insurance
Quick Apply
8d
Operations Support Specialist
Delta Dental of Iowa —Johnston, IA
- Full-time
- Basic math
- HIPAA
- No high school diploma
- Dental insurance
Claims Specialist
Berkley —Urbandale, IA
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Profit sharing
- Paid parental leave
Senior Casualty Claims Specialist, Attorney Represented - Central Time Zone
Liberty Mutual —Des Moines, IA
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
Medical Billing Specialist
West Des Moines OBGYN Associates, PC —West Des Moines, IA
- Full-time
- Mid-level
- Ob/Gyn
- Organizational skills
Quick Apply
Customer Care Specialist
ARAG North America —Des Moines, IA
- Full-time
- Hybrid work
- Writing skills
- Office
- High school diploma or GED
Auto Liability Specialist II
First Acceptance Services Inc —Des Moines, IA
- Full-time
- Remote
- Customer service
- Mid-level
- High school diploma or GED
- Continuing education credits
Retirement Ops Specialist 1
Principal Financial Group —Des Moines, IA
- $18.17 - $32.35 an hour
- Full-time
- Basic math
- Research
- Office
- Paid time off
15h
Service Billing & Warranty Claims Specialist
Mechanical Sales, Inc. —Johnston, IA
- From $40,000 a year
- Overtime
- Background check
- Mid-level
- Office
- Profit sharing
- Health savings account
Quick Apply
1d
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Des Moines, IA
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
Employee Experience Specialist (EES)
Ampacity, LLC. —Des Moines, IA
- $28 - $35 an hour
- Full-time
- Spanish
- Up to 50% travel
- Construction site
- Paid holidays
- Health insurance
Legal - Judgment Entry Specialist
Gurstel Law Firm P C —West Des Moines, IA
- $19 - $21 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
- Profit sharing
- Paid holidays
Quick Apply

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Coding Specialist

Mission Cancer + Blood -
Des Moines, IA

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Medical Coding Certification
High school diploma or GED
ICD-10

Full Job Description

Basic Function and Scope of Responsibilities: This job is responsible for daily review, coding, and billing of insurance claims, follow-up unpaid claims and insurance denial management.

Principal Responsibilities:

Completes charge audits, reviews documentation to identify all services provided by the provider, and reviews medical records to ensure accuracy.
Communicates effectively over the phone and through written correspondence to clinic staff to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.
Communication effectively with providers to provide clarification or education as updates and policy changes occur.
Accurately assigns appropriate procedure, administrative, and diagnosis codes using knowledge of medical coding.
Review and pre-audit charge billing report to assure all required billing information has been accurately received.
Teamwork with other coders and billers to ensure charges are entered timely and accurately.
Provide training for other employees as requested by management.
Resolve coding errors identified by Advanced Claim Edits.
Resolve coding related denials.
Maintain medical coding certification.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Education Requirements:

High School Diploma or GED equivalent required.
Previous experience in charge-entry and or coding is preferred.
Previous EPIC experience preferred.
Coding Certification Required

Performance Requirements:

Knowledge:

Knowledge of health insurance programs, coverage offered and third-party reimbursement mechanisms.
Knowledge of electronic medical record system.
Knowledge of manual and electronic billing systems and procedure.
Knowledge of eligibility, benefits and authorizations processes.
Detailed knowledge of billing, HCPCS, CPT and ICD-10 codes.
Familiarity with medical terminology.
Evaluates and understands contractual language and health plan payment policies as it relates to payment, compliance, reimbursement methodologies, and appeals processes.
Knowledge of all coding applications relevant to Oncology/Hematology/Infusion coding.

Skills and Abilities:

Skills in operating personal computer utilizing word processing, spreadsheets, databases, email and other office equipment.
Strong Excel, Word, and Power Point skills.
Effective communication with peers, supervisors, and patients.
Ability to handle stressful situations.
Ability to meet deadlines
Must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills.
Must possess high degree of professionalism and adaptability.
Skill in negotiating issues and resolving problems.
Exceptional multi-tasking, organizational skills and superb attention to detail.
Strong analytical skills.

Working Conditions: Work may be stressful at times due to continual interaction with others and the nature of the medical specialty.

Must possess the physical and mental abilities to perform the tasks normally associated with the role including bending, reaching and sitting.

Physical surroundings: Medical office

Adverse working environment Work may be stressful due to continual interaction with others, long hours required and nature of the medical specialty.

Physical Effort: Must possess the physical and mental abilities to perform the tasks normally associated with this role including prolonged sitting, walking, bending, standing, stooping and reaching. Lifting up to 10 pounds at times.

Local Travel: Occasional, within city limits only

Domestic/International Travel: None

Extensive Hours: Varies due to need

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this position. They are not intended to be an exhaustive list of all associated responsibilities, skills, efforts or working conditions. Mission Cancer + Blood, part of University of Iowa Health Care reserves the right to change, amend, add, delete, and otherwise assign any and all duties, responsibilities and position titles as it deems necessary to meet the needs of the business.

Mission Cancer + Blood, part of University of Iowa Health Care is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need.

In the interest of ensuring the safety of our employees, patients and community, Mission Cancer + Blood, part of University of Iowa Health Care has adopted a mandatory vaccination policy for COVID-19. All employees are required to be fully vaccinated against COVID-19 unless granted a reasonable accommodation for disability, religious or other extenuating circumstances. New employees will be granted a reasonable time to come into compliance with the policy, if necessary.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Education:

High school or equivalent (Required)

Experience:

ICD-10: 1 year (Preferred)

Work Location: Multiple locations

Quick Apply

Refine Your Search

claims specialist jobs in des moines ia

Coding Specialist

Senior EHS Specialist

Medical Billing Specialist

Accounts Payable Specialist

Claims Specialist

Program Specialist (OPR)

Claims Specialist, Commercial Casualty - Remote

Sr. Claims Specialist, Commercial Casualty - Remote

Claims Specialist I

Operations Support Specialist

Claims Specialist

Senior Casualty Claims Specialist, Attorney Represented - Central Time Zone

Medical Billing Specialist

Customer Care Specialist

Auto Liability Specialist II

Retirement Ops Specialist 1

Service Billing & Warranty Claims Specialist

Sr. Litigation Specialist -Remote

Employee Experience Specialist (EES)

Legal - Judgment Entry Specialist

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