Top 20 Medical claims processing Jobs in West 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
Population Health Data Analyst (Full Time)
The Iowa Clinic —West Des Moines, IA
- Full-time
- Mid-level
- 3 years
- Leadership
- Profit sharing
- Wellness program
Billing Representative II
Primary Health Care Inc —Des Moines, IA
- $17.00 - $27.98 an hour
- Full-time
- Customer service
- Word processing
- Computer literacy
- Continuing education credits
- Health savings account
Quick Apply
8d
Member Advocate (multiple openings)
ClaimDOC —West Des Moines, IA
- 8 hour shift
- Bilingual
- Computer literacy
- No experience needed
- Paid holidays
- Health insurance
Medicaid Provider Liaison
State of Iowa —Des Moines, IA
- Full-time
- Background check
- Mid-level
- US work authorization
- Paid holidays
- Disability insurance
6d
Epic Denials Management Operator
Deloitte —Des Moines, IA
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
14d
Epic Denials Management Coordinator
Deloitte —Des Moines, IA
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
14d
Pharmacy Order Entry Technician
PharMerica —Urbandale, IA
- Full-time
- Customer service
- High school diploma or GED
- Leadership
- Health insurance
- Dental insurance
8d
Customer Experience Specialist ($17–$21/hr)
Synapse Health —Des Moines, IA
- $17 - $21 an hour
- HIPAA
- Office
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
MPPS Policy Deviations Senior Manager
CVS Health —Des Moines, IA
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Chiropractic Assistant/Front Desk
Carlisle Spine and Wellness —Carlisle, IA
- $17 - $21 an hour
- Part-time
- Bilingual
- HIPAA
- Administrative experience
Quick Apply
Coding Auditor
ClaimDOC —West Des Moines, IA
- Full-time
- Hybrid work
- Computer literacy
- Research
- Office
- Paid holidays
- Health insurance
Certified Pharmacy Technician
Hy-Vee Inc —West Des Moines, IA
- Part-time
- Ability to walk for extended periods
- Sanitation
- Pass drug screening
2d
Nuclear Medicine Technologist (Multi-Modality Technologist)
US Veterans Health Administration —Des Moines, IA
- $99,412 - $129,242 a year
- Online Application
- Background check
- Anatomy knowledge
- Writing skills
7d
Pharmacy Operations Manager
Walgreens —West Des Moines, IA
- $22.50 - $31.00 an hour
- Weekends as needed
- English
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
Vice President, Dental Director
Delta Dental of Iowa —Johnston, IA
- Full-time
- Up to 50% travel
- High school
- 5 years
- Dental insurance
- Vision insurance

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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

medical claims processing jobs in west des moines, ia

Coding Specialist

Population Health Data Analyst (Full Time)

Billing Representative II

Member Advocate (multiple openings)

Medicaid Provider Liaison

Epic Denials Management Operator

Epic Denials Management Coordinator

Pharmacy Order Entry Technician

Customer Experience Specialist ($17–$21/hr)

MPPS Policy Deviations Senior Manager

Chiropractic Assistant/Front Desk

Coding Auditor

Certified Pharmacy Technician

Nuclear Medicine Technologist (Multi-Modality Technologist)

Pharmacy Operations Manager

Vice President, Dental Director

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