Top 52 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
3d
Underwriter - Detail-Oriented | Process-Focused | Customer Support Specialist
R&A Risk Professionals —Urbandale, IA
- $55,000 - $65,000 a year
- Full-time
- Background check
- Microsoft Excel
- Customer service
Quick Apply
Quality Assurance Specialist (Storm Claims)
FBL Financial Group, Inc. —West Des Moines, IA
- 5 years
- English
- Driver's License
- Paid holidays
- Disability insurance
10d
Senior EHS Specialist
The Marzetti Company —Altoona, IA
- Full-time
- Bachelor's degree
- Continuous improvement
- Case management
HOME Program Specialist
State of Iowa —Des Moines, IA
- Full-time
- Background check
- Mid-level
- Office
- Paid holidays
- Dental insurance
3d
Customer Care Specialist
ARAG North America —Des Moines, IA
- Full-time
- Hybrid work
- Writing skills
- Office
- High school diploma or GED
Senior Casualty Claims Specialist - 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
4d
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
Program Specialist (OPR)
State of Iowa —Des Moines, IA
- $23.73 - $37.52 an hour
- Full-time
- Writing skills
- Mid-level
- Office
3d
Client Accounting Specialist (Meritain Health)
CVS Health —Des Moines, IA
- $18.50 - $42.35 an hour
- Full-time
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
- Health insurance
- Dental insurance
Claim Specialist - Property Field Inspection
State Farm —Des Moines, IA
- $59,059.65 - $90,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
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
1d
Problem Resolution Specialist - Customer Insights
John Deere —Ankeny, IA
- $77,628 - $116,436 a year
- 18 years or older
- Customer service
- Mid-level
- Health savings account
- Paid holidays
4d
Patient Access Specialist-Part Time-.50FTE
Broadlawns Medical Center —Des Moines, IA
- Part-time
- Hospital
- Mid-level
- 1 year
- Free parking
- Health insurance
Quick Apply
1d
Coding Quality Denials Specialist
UnityPoint Health —West Des Moines, IA
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
4d
Procurement Specialist 2
State of Iowa —Des Moines, IA
- Full-time
- Research
- Mid-level
- Office
- Paid holidays
- Disability insurance
7d
Quality Assurance Specialist (Storm Claims)
Farm Bureau Financial Services —West Des Moines, IA
- 5 years
- English
- Driver's License
- Paid holidays
- Disability insurance
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
14d
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

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Coding Specialist

Mission Cancer + Blood -
Des Moines, IA

Quick Apply

Job Details

Full-time
3 days ago

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

Underwriter - Detail-Oriented | Process-Focused | Customer Support Specialist

Quality Assurance Specialist (Storm Claims)

Senior EHS Specialist

HOME Program Specialist

Customer Care Specialist

Senior Casualty Claims Specialist - Central Time Zone

Auto Liability Specialist II

Program Specialist (OPR)

Client Accounting Specialist (Meritain Health)

Claim Specialist - Property Field Inspection

Medical Billing Specialist

Problem Resolution Specialist - Customer Insights

Patient Access Specialist-Part Time-.50FTE

Coding Quality Denials Specialist

Procurement Specialist 2

Quality Assurance Specialist (Storm Claims)

Employee Experience Specialist (EES)

Operations Support Specialist

Claims Specialist

I want to receive the latest job alert for claims specialist in des moines ia

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