Medical Billing Specialist

  • location: Des Moines, IA
  • type: Permanent
  • salary: $18 - $21 per hour
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job description

Medical Billing Specialist

This Medical Biller is responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. It is a position that is critical for the financial cycle of all health care providers, from single-provider practices through large medical centers. It requires attention to detail and experience with the electronic and paper systems used in medical billing.

-Obtaining referrals and pre-authorizations as required for procedures.
-Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
-Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
-Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
-Following up on unpaid claims within standard billing cycle timeframe.
-Checking each insurance payment for accuracy and compliance with contract discount.
-Calling insurance companies regarding any discrepancy in payments if necessary
-Identifying and billing secondary or tertiary insurances.
-Reviewing accounts for insurance of patient follow-up.
-Researching and appealing denied claims.
-Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
-Setting up patient payment plans and work collection accounts.
-Updating billing software with rate changes.
-Updating cash spreadsheets, and running collection reports.

Working hours: 8:00 AM - 5:00 PM

Familiarity with CPT and ICD-10 Coding.
-Effective communication abilities for phone contacts with insurance payers to resolve issues.
-Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
-Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
-Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process.
-Knowledge of accounting and bookkeeping procedures.
-Knowledge of medical terminology likely to be encountered in medical claims.

High School


-A high school diploma
-Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
-A minimum of one to three years of experience in a medical office setting.

A minimum of one to three years of experience in a medical office setting.

If interested in hearing more about this opportunity please reach out to STACIA at 515.318.6893 or send resume to

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