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CommonSpirit Health Insurance Follow Up Support Rep in Des Moines, Iowa

Insurance Follow Up Support Rep

MercyOne Central Iowa ClinicsDes Moines, Iowa

Requisition ID 2022-235576 Employment Type Full Time Department Physicians Billing System Hours/Pay Period 80 Shift Day Weekly Schedule Standard Remote No Category Administrative and Clerical

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Work From Home Options

Responsibilities

Insurance Follow Up Patient Account Rep II

  • Demonstrates written, verbal, and nonverbal communication that is consistent with the Mercy Mission, Values and I Will Statements to all patients, families, visitors, medical staff, colleagues, vendors and other internal and external customers.

  • Promotes the Spirit of Mercy by displaying an attitude and behaviors that are consistent with the Mercy Mission, Value and I Will Statements.

  • Acknowledges patient rights with regard to confidentiality by maintaining patient confidentiality and following HIPAA guidelines and regulations at all times.

  • Acts as a patient advocate by responding to and addressing all patient concerns in a timely manner.

  • Maintains current on all mandatory employment requirements including but not limited to Orientation Attendance (new hires), CHI Mandatory Education Courses, CHI additional Education Courses, Health Review, TB Testing and Annual Flu Shot.

  • Must be a self- started and demonstrate the ability to work independently by making appropriate decisions according to the organizational and departmental guidelines that fall within the scope of the position.

  • Demonstrates the ability to understand and effectively utilize a highly complex billing system(s).

  • Maintains current knowledge of all Federal, State and compliance regulations related to billing and insurance as required based on the scope of the position.

  • Demonstrates an understanding of HCFA 1500 claim forms, CPT, ICD.9 and HCPCS codes specific to insurance carrier requirements as required based on scope of the position.

  • Maintains clear and concise documentation in claims and/or online notes as required based on the scope of the position.

  • Participates effectively as a team member.

  • Maintains competent job performance or better.

  • Maintains an organized work area that enhances the organizational/departmental image.

  • Reports all issues related to workflow backlog or identified process related concerns to Manager.

Patient Account Rep II - Follow-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 notes

Qualifications

  • One-year experience in accounts receivable or health insurance in a medical setting required

  • A minimum of one-year current experience of CPT, ICD-10, and HCFA 1500 required.

  • High school diploma or GED required.

Equal Opportunity

CommonSpirit 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. For more information about your EEO rights as an applicant,

please click 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 contractor’s 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.

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