CommonSpirit Health Insurance Follow Up Support in Des Moines, Iowa
Insurance Follow Up Support
MercyOne Central Iowa ClinicsDes Moines, Iowa
The posted compensation range of $15.30 - $19.67 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Requisition ID 2022-251247 Employment Type Full Time Department Physicians Billing System Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Remote No Category Administrative and Clerical
MercyOne Central Iowa operates four not-for-profit Catholic medical centers in Des Moines West Des Moines Newton and Centerville and two specialty hospitals – MercyOne Children’s 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 7000 employees and a medical staff of more than 1000 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 country’s foremost not-for-profit Catholic health organizations. MercyOne has more than 20000 colleagues in Iowa and surrounding states.
We offer the following benefits to support you and your family:
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
Ask about our Sign-On Bonus, up to $500 available fo qualifying applicants!!
Ability to interpret explanation of benefits and correspondence from multiple payers. Contact payers, patients, or clinics to resolve claim issues. Work accounts as dictated by the specific job. Is knowledgeable with insurance carriers’ policies and procedures. Adhere to all productivity expectations and quality assurance standards. Provide excellent customer service consistent with Mercy’s philosophy and guidelines.
Patient Account Rep II Responsibilities-
Responsible for reviewing, correcting and filing unpaid or previously adjudicated claims as assigned
Contacts insurance carriers, patients, and clinics to resolve claim issues.
Participates in recognizing denial trends and provides feedback to manager
Credit Balance (Insurance):
Research and resolve all insurance/business overpayments
Maintain knowledge of payment posting and follow-up processes
Review and respond to carrier correspondence requesting refunds
Credit Balance (Patient):
Research and resolve all patient credit balances
Communicate with guarantors and patients regarding questions related to patient refunds.
Works unassigned payment queues and reports.
Cash/Zero Pay Posting
Responsible for the posting of all assigned cash payments, adjustments and remark codes,
Reconciles and balances all batches.
Contacts payers to resolve issues necessary in order to reconcile, apply payments, and bring variances to resolution.
Manages large amount of incoming calls and assists walk in customers
Handles customer complaints, provides appropriate solutions within time limits, and follows up to ensure resolution .
Follows communication procedures, guidelines and policies.
Reviews and moves accounts through the pre-collection process before placing with collection agency
Handles inbound and outbound collection calls.
Is responsible for all bad address and legal correspondence, probates, and bankruptcy
Reviews all applications to determine if the account qualifies for charity
Is knowledgeable and adheres to the CHI Financial Assistance policy
High school diploma or GED required.
One year experience in accounts receivable, banking, or office setting required.
Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
A minimum of one year current experience of CPT, ICD-10, and HCFA 1500 preferred.
Successful completion of a medical terminology class preferred.
One year 10 key experience preferred.
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.
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 preferred.
Demonstrates an understanding of HCFA 1500 claim forms, CPT, ICD.9 and HCPCS codes specific to insurance carrier requirements preferred.
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/EEOC_KnowYourRightsEnglish.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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