The Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, including the investigation of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that claims are paid in a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and follow-up issues appropriately, Reps will need to have an understanding of the entire Revenue Cycle and be able to interact with Government and Commercial insurances.

This position is open to remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin. 

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.

Billing and Follow Up Responsibilities

• Resolve billing errors/edits, including accounts with Stop Bills and “DNBs” to ensure all claims are filed in a timely manner
• Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required
• Verify eligibility and claims status on unpaid claims
• Review payment denials and discrepancies and take appropriate action to correct the accounts/claims
• Respond to customer service inquiries
• Perform charge corrections when necessary to ensure services previously billed incorrectly are billed out correctly
• Submit replacement, cancel and appeal claims to third party payers
• Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication
• Work accounts in assigned queues in accordance with departmental guidelines
• Contact patients for needed information so claims are processed /paid in a timely manner
• Work directly with third party payers and internal/external customers toward effective claims resolution

• High school graduate or GED equivalent
• Interpersonal skills
• Written and verbal communication
• Basic computer skills
• Motivation
• Teamwork
• Customer/Patient focused
• Professionalism
• Planning and organizing skills