Claims Follow-up Specialist Business Services | Ames

Claims Follow-up Specialist I (FT) | Business Services | Ames |

McFarland Clinic is currently accepting applications for Claims Follow-up Specialist for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

Days:
Monday - Friday.

Hours:

8:00 AM - 4:00 PM.

• Applies insurance carrier guidelines to submit accurate claims for proper reimbursement.
• Maintains broad knowledge of Epic not limited to Prelude, Cadence, Ambulatory and Professional Billing.
• Utilizes insurance and billing expertise to resolve denials and patient questions/concerns filtered through Patient Services Reps regarding their billing statements and insurance notifications.
• Stays current with changes in reimbursement regulations.
• Reviews open claims for correct and timely remittances.
• Reviews documentation and provides responses to insurance carriers to assist in resolving claim denials.
• Reviews and processes record requests from insurance companies.
• Answers telephone and provides information as necessary.
• Attends required meetings and participates on committees as requested.
• Participates in professional development activities and maintains professional affiliations.
• Maintains patient confidentiality.
• Performs related work as required.
• Other duties as assigned.

• High School Diploma, GED or HiSET

• 2 years of medical coding experience with exposure to coding activities or insurance claims preferred.

Pre-employment drug screen and criminal history background checks are a condition of hire.

McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO.

McFarland Clinic makes every effort to comply with all requirements of federal, state and local laws relating to Equal Employment Opportunity.