Coding Configuration Specialist - Insurance/ClaimsMedical Associates, Dubuque, IA
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Our mission is to provide superior healthcare and an excellent patient experience.
Medical Associates Clinic is a well-established multispecialty group practice with over 170 providers and a staff of over 1,000 health care professionals and support personnel. The group was founded in 1924 and is Iowa’s oldest multispecialty group practice. Today, Medical Associates Clinic is the area’s leading health care provider and only multispecialty group practice. Medical Associates Clinic has been recognized since 1998 as a “better performing practice” by the Medical Group Management Association.
In 1982, Medical Associates developed the Tri-State’s first health maintenance organization, Medical Associates Health Plans, which offers comprehensive health benefits to over 400 employers and 45,000 members. Medical Associates Health Plans has maintained an “Excellent” rating, the highest level of accreditation possible by the National Committee for Quality Assurance, for 13 consecutive years.
Medical Associates Clinic offers several locations from which to seek medical care, including facilities at 1500 Associates Drive, 1000 Langworthy, and 1940 Elm Street in Dubuque, Iowa; as well as facilities in Bellevue, Cascade, Dyersville, Elkader, and Monona, Iowa; Cuba City, and Platteville, Wisconsin; and Elizabeth and Galena, Illinois.
The Business Office at Medical Associates is seeking a full-time, Coding Configuration Specialist. This position will problem-solve with configuration and help maintain and process claims to maximize accuracy and efficiency of claims payment.
Seeking candidates who have a background working with health insurance claims and denial language. Ideal candidates have some experience with Medicare, Medicaid, work comp, medical coding and configuration.
Must be "certified" within one year from the date of hire. Acceptable certifications include RHIT, RHIA, CPC, CCA or CCS.
Schedule: 40 hours/week. Primary schedule is Monday - Friday, between the hours of 7am - 5pm. Full benefits eligible.
Location: Medical Associates West Campus - 1500 Associates Drive
Job Description Details:
Responsible for configuration, research, testing, and maintenance of claims software to ensure maximum efficiency of the product.
Work system claims scrubber error report, independently making decisions to correct errors identified on the report before submission of claim.
Assist the business office staff by answering questions and providing them with information to assist them in correct coding and billing procedures.
Review denied claims after submission for correct data. File protests with insurance companies, follow up for payment, and create edits to reduce additional denials.
Prepare documentation for assigned area of responsibility.
Complete all other assigned projects and duties.
Knowledge, Skills, and Abilities:
Experience: Three to five years of similar or related experience.
Education: Equivalent to a two-year college degree or completion of a specialized course of study or certification at a business or trade school.
Interpersonal Skills: Courtesy, tact, and diplomacy are essential elements of the job. Work involves personal contact with others inside and/or outside the organization, generally regarding routine matters for purposes of giving or obtaining information with may require some discussion.
Other Skills: Claims software and ICD-10 Coding
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Paid Sick Leave
|Years of Experience||1-2 Years|