Billing Specialist

UnityPoint Health- Pain Center

Full-time; Monday-Thursday 8a-4:30p, Friday 8a-11:30a

The Billing Specialist is responsible for assisting patients with their billing questions, verifying charges are submitted timely for processing for both independent provider partner and UnityPoint Health, and work with coding production team to ensure all charges have appropriate documentation to bill for services. Obtaining prior authorizations include, but are not limited to, researching insurance policies for each procedure to ensure the physicians are following the individual’s insurance policy regulations, ensuring a payable diagnosis code, and accurate use of coding for independent provider partner and UnityPoint Health procedures. Effectively communicates with providers, nurses, and front desk staff of any updated insurance, coding, preauthorization, and/or billing changes. This position is the primary resource to the Allen Center for Pain Medicine staff regarding patient accounts, coding, insurance, and prior authorizations.

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

·        Serve as the primary resource to staff and patients for questions related to billing. 

·        Communicate status of clinic billing responsibilities to the Administrator on a regular basis.

·        Provide support and training to new employees in the functions related to billing (i.e. denials).

·        Monitor daily billing activity/productivity (i.e., timeliness of posting of charges/payments, collection of co-payments, etc.).

·        Prepare and verify daily deposit.

·        Share responsibility through timely communication of identified problems to assure proper follow-up is completed and ensure proper payment.

·        Work accounts in assigned queues in accordance with the department protocols.

·        Maintain daily reconciliation/balancing documents per protocol.

·        Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization’s intranet site.

·        Maintain regular and consistent attendance at work.

·        Monitor environmental conditions in order to secure protected health information.

·        Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

·        Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.

·        Perform other duties as requested by Clinic Administrator to facilitate the smooth and effective operations of the office.

• High School, GED equivalent or post-secondary education.
• One to Three years of medical business office experience and accounts receivable management. Previous experience with filing of medical insurance claims preferred.
• Previous experience coding diagnoses and procedures with ICD-9-CM and CPT.
• Knowledge of medical terminology, anatomy and physiology.
• Knowledge of medical billing and collection practices.
• Knowledge of governmental legal and regulatory provisions related to collection activities.