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Billing Customer Service Representatives

Company: CommonSpirit Health
Location: Des Moines
Posted on: November 22, 2021

Job Description:

Billing Customer Service RepresentativesMercy Medical Physician PractiDes Moines, IowaRequisition ID 2020-128087 Employment Type Full Time Department Physicians Billing System Hours/Pay Period 80 Shift Day Standard Hours Monday - Friday (8:00 AM - 5:00 PM) Remote NoOverviewMercyOne Central Iowa operates four not-for-profit, Catholic medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals MercyOne Childrens Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893, MercyOne Central Iowa has the longest continually operating hospital in Des Moines and is also one of the largest employers in the state, with more than 7,000 employees and a medical staff of more than 1,000 physicians and allied health associates. MercyOne Central Iowa is a member of MercyOne, which was founded in 1998 through a collaboration between CommonSpirit Health and Trinity Health two of the countrys foremost, not-for-profit Catholic health organizations. MercyOne has more than 20,000 colleagues in Iowa and surrounding statesMercyOne provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.We offer the following benefits to support you and your family:

  • Health/Dental/Vision Insurance
  • Flexible spending accounts
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
  • Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
  • Employee Assistance Program (EAP) for you and your family
  • Paid Time Off (PTO)
  • Tuition Assistance for career growth and development
  • Matching 401(k) and 457(b) Retirement Programs
  • Wellness Program.ResponsibilitiesPositions Available for our Physician Billing OfficeWe are looking to fill positions in the follow departments:
    • Billing (Billing Specialists) - Remote Work Options Available!
    • Follow-up (Patient Account Rep II) - Remote Work Options Available!
    • Customer Service (Patient Account Rep II)
    • Cash Posting (Patient Account Rep II)SUMMARY OF DEPARTMENTS:Billing Specialist
      • Maintains accounts receivable, accurately codes and posts charges
      • Assists with insurance denials for correction and re-filing. Appropriately corresponds with follow-up team via practice management system.
      • Appropriately uses ICD-10 and CPT-4 codes.
      • Resolve routine patient billing inquiries and problems, handling follow-up questions from customer service team, resolving discrepancies or errors.
      • Works unassigned payment queues and reports.
      • Maintains functional knowledge of insurance terminology and ensures the accuracy of registration data.
      • Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities
      • Perform other duties as assigned.Patient Account Rep IIFollow-up:
        • Responsible for reviewing accounts for correct third-party billing as assigned.
        • Contacts insurance carriers, patients, and clinics to resolve claim issues.
        • Updates patient registration and insurance as needed to correctly file claims.
        • Ability to process complex claim correction involving both pending and previously adjudicated claims.
        • Ability to utilize high level thinking and problem solving to bring complex claims to resolution.
        • Files claims according to insurance company guidelines.
        • Participates in recognizing denial trends and provides feedback to manager
        • Maintains claim and online notesCustomer Service:
          • Assists walk-in patients
          • Handles patient complaints, de-escalates callers, provides appropriate solutions within time limits, and follows up to ensure resolution.
          • Identifies and assesses patients needs to achieve satisfaction.
          • Builds trust with patients using open and interactive communication.
          • Provides accurate, valid and complete information using the right methods and tools.
          • Meets personal and customer service team targets and call handling quotas.
          • Keeps records of patient interactions by noting accounts.
          • Follows communication procedures, guidelines and policies.Cash Posting:
            • Responsible for the posting of all assigned cash payments, adjustments, and/or remark codes to the appropriate claim, service date and/or account from all EOBs and ERAs.
            • Possesses ability to comprehend complex insurance claims and explanations of benefits in various payer formats
            • Adheres to all cash posting processes and protocols
            • Contacts payers to resolve issues necessary in order to reconcile and apply payments
            • Reconciles each batch to the check deposit amount
            • Initiates the refund/recoup process for all credit balances
            • Maintains ability to recognize claim denials on EOBs/ERAs and applies information appropriately to allow for additional follow up as necessary
            • Brings all variances to resolution within established timeframes
            • Maintains productivity standards defined by management.
            • Ability to research errors that resulted in unposted claim payments.
            • Coordinate activities for unidentified payments.
            • Maintains working knowledge of multiple payer websites
            • Maintains knowledge of all government and non-governmental industry regulation changes.QualificationsMinimum Qualifications
              • High school diploma or GED required.
              • One-year experience in accounts receivable or health insurance in a medical setting requiredPreferred Qualifications
                • A minimum of one-year current experience of CPT, ICD-10, and HCFA 1500.
                • Certified Professional Coder (CPC).#missioncriticalEqual OpportunityCommonSpirit Health is an Equal Opportunity/Affirmative Action employer committed toa diverse and inclusive workforce. All qualified applicants will be considered foremployment without regard to race, color, religion, sex, sexual orientation, genderidentity, national origin, age, disability, marital status, parental status,ancestry, veteran status, genetic information, or any other characteristic protectedby law. For more information about your EEO rights as an applicant,pleaseclick here. (https://tbcdn.talentbrew.com/company/35300/img/v1_0/EEOLawPoster.pdf)CommonSpirit Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c).External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).CommonSpirit Health participates in E-Verify.Equal OpportunityCommonSpirit Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

Keywords: CommonSpirit Health, Des Moines , Billing Customer Service Representatives, Accounting, Auditing , Des Moines, Iowa

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