November 16, 2024

UnityPoint Health

Urbandale

FULL TIME

Billing Account Specialist

Overview:

Unity Point Health

Billing Account Specialist

Urbandale, IA

Monday- Friday, 8AM-5PM

Full-time + benefits

Billing Account Specialists manage the claims process, including accurate and timely claim creation and insurance correspondence. The position assists with clarification and development of process improvements, assure payments related to service provided are recorded and reconciled timely to maximize revenue.

Ideally this person will have medical insurance billing experience, medicaid, medicare, denials and/or home medical equipment and care!

Responsibilities: Quality Assurance

Performs the review and confirmation of work orders prior to billing, by verifying accuracy of order and required documentation such as prescriptions, certificates of medical necessity, prior authorizations, diagnosis and procedure codes.
Monitors the confirmation work queue to ensure timely confirmation of work orders.
Track incomplete information and communicate feedback to management and intake staff.

Billing Administration

Works accounts receivable aging reports performing follow up in accordance with policies and procedures.
Generates and processes statements and claim forms in an accurate and timely manner. Obtains, verifies and maintains customer demographics and insurance information for billing purposes.
Works to resolve carrier denials and correspondence for proper payment of claims.
Shares responsibility through timely communication of identified problems to assure proper follow up is completed to expedite clams and ensure proper payment.
Identifies potential discrepancies in claims payment processing.
Answers questions and resolves problems related to billing operations.
Provides clear documentation of all communication related to accounts in account or claim notes.
Reviews credit balance accounts on a monthly basis.
Prepares appropriate paperwork when refunds are warranted, based on history of account and contractual agreements; forward to Lead Billing Account Specialist for approval and processing.
Assists clients with questions, payments and account resolution.
Makes payment arrangements and process statements and take collection measures when necessary.
Maintains current knowledge of carrier specific requirements by attending workshops, reading newsletters and acting as liaison in carrier meetings.
Provides communication and teaching to Billing Account Specialists, Payment Posting Specialist and Billing Records Technician.

Qualifications:

Education:

High School or Vocational School graduate

Experience Preferred:

Proficient in Microsoft office software.
Previous medical office experience.
Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.

Skills/Abilities

Strong interpersonal skills.
Ability to work independently or as part of a team.
Ability to understand and apply guidelines, policies and procedures.

Why Unity Point Health?

Commitment to our Team – For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members.
Culture – At Unity Point Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
Benefits – Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.
Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.