Top 4 Prior authorization specialist Jobs in Dewitt, Ia

Medical Billing Specialist and Administrative Assistant
Dewitt Family Practice —DeWitt, IA
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
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21h
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Athletico Physical Therapy —Silvis, IL
- $16.60 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid parental leave
- Health savings account
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Medical Billing Specialist and Administrative Assistant

Dewitt Family Practice
DeWitt, IA

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Job Details

Full-time
21 hours ago

Benefits

Health insurance
Dental insurance
Flexible spending account
Vision insurance
401(k) matching

Qualifications

HIPAA
High school diploma or GED
Attention to detail
Associate's degree
Medical terminology

Full Job Description

Job Overview

We are seeking a detail-oriented and organized candidate for a full-time combined Medical Billing Specialist and Administrative Assistant to join our hardworking healthcare team. The candidate will oversee the daily administrative operations of the clinic and work towards an environment where the providers are able to operate efficiently, deliver exceptional patient care, and remain compliant with healthcare regulations. The administrative assistant serves as a bridge between patients, medical staff, and external stakeholders, fostering a supportive environment where quality healthcare thrives. The position also includes overseeing and helping other staff manage the billing cycle for the clinic. Your expertise will ensure accurate insurance reimbursement, timely claim processing, and optimal financial health for our practice.

Key Responsibilities

Claims Processing: Prepare and submit clean, accurate insurance claims to government and commercial payers.
Insurance Verification: Verify patient insurance eligibility, benefits, and pre-authorization requirements prior to scheduled care.
Denials & Appeals: Investigate denied or rejected claims, correct errors, and submit comprehensive appeals to ensure maximum reimbursement.
Patient Billing: Generate patient invoices, explain Explanation of Benefits (EOBs) and statements, and facilitate payment plans.
Compliance & Auditing: Audit medical records for accuracy and compliance with state/federal regulations including HIPAA and CMS guidelines.
Assisting with the patient check-in process
Evaluating timesheets for accuracy and submitting on a bi-weekly basis
Ensuring FSA and dependent care spending accounts are set up accurately
Accurately tracking PTO accrual and usage and coordinating with CEO, COO, and CPA
Tracking daily provider visits and presenting them weekly to CEO and COO
Tracking employee anniversaries for the purpose of raises
Organizing and preparing weekly huddles for staff
Communicating with employees about staffing changes for absent workers
Tracking new patient trends
Coordinating marketing campaigns
Coordinating and maintaining accurate information for our on-line presence, including provider’s search page details (Google, Bing, Healthgrades, etc.)
Coordinating with our website host for any changes for the clinic website
Coordinating with the appropriate services for any credentialing needs
Onboarding new providers and employees
Ensuring new employees are trained appropriately for their assigned roles
Coordinating with CPA to set up payroll for new employees

Qualifications

Education: High school diploma or equivalent required. Completion of an accredited Medical Billing program or Associate’s degree in Health Information Administration.
Certifications: Active coding certification from recognized bodies (e.g., CPC, CPB, or CCS from AAPCor AHIMA) is highly desirable.
Technical Skills: Proficiency in Electronic Health Records (EHR) software and medical billing systems.
Knowledge Base: Deep understanding of medical terminology, healthcare laws, and evolving coding standards.
Soft Skills: Exceptional attention to detail, strong analytical and mathematical abilities, and excellent written and verbal communication skills.

Job Environment & Working Conditions

Full-time, on-site in a fast-paced, office-based clinical environment.

Benefits

Competitive salary
401k with company match
Paid vacation
Flex medical and dependent care spending accounts
Subsidized medical, dental, and vision insurance
Discretionary bonuses
Family-friendly work environment
No nights or weekends
Major holidays off

More details are available on request. Please call 563-659-6090 to inquire and apply.

Work Location: In person

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prior authorization specialist jobs in dewitt, ia

Medical Billing Specialist and Administrative Assistant

Front Office Coordinator - Silvis, IL

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