Insurance Specialist – Business Office

Monroe County Hospital & Clinics is a trusted provider of high quality, local health care. At Monroe County Hospital & Clinics, we strive to be a premier employer, known for our strong commitment to high employee satisfaction scores while offering competitive salary and benefit packages. Monroe County Hospital & Clinics employs 190 team members and is proud to be called a Top 150 Workplace by the Des Moines Register six years in a row! In 2021, Monroe County Hospital & Clinics was ranked third for overall employee engagement in the middle sized organizations category and was named #1 Top Workplace in the category of “Most Clued in Senior Management.”

Job Description

Due to a retirement, Monroe County Hospital & Clinics is seeking a full-time Insurance Specialist to join our Business Office team.

Primary duties for this position include:

  • Responsible for attainment of key performance metrics and revenue cycle goals.
  • Works claims from beginning to end through the claims process until claim is adjudicated.
  • Responsible for billing all secondary claims.
  • Review and correct claims.  Responsible to work all edits, appeals and denials to ensure proper payment for medical services rendered.
  • Responsible for working with the hospital and individual departments on charge corrections.
  • Responsible for follow-up on assigned accounts to resolve issues with payers.
  • Performs follow up with the registration team as needed to promote accuracy in billing.
  • Responsible for posting payments and adjustments received directly to patient accounts.
  • Provides outstanding customer service, by working directly either in person or over the telephone with patients or family members to answer questions and resolve billing and statement issues.
  • Prioritize tasks and maintain flexibility as job priorities change.
  • Satisfactory completion of on-the-job orientation and competency skills checklist.
  • Regular and reliable attendance.
  • Ongoing compliance with MCHC educational and training requirements.
  • Adheres to the MCHC mission, vision, values, and Standards of Behavior.
  • Maintains patient and hospital confidentiality.
  • Promotes and maintains positive relationships with patients, visitors, coworkers, and providers.
  • Actively participates in department huddles, in-services, meetings, and educational opportunities.
  • Follows all departmental policies and procedures and adheres to departmental budget.
Job Requirements
  • High School Diploma or equivalent.
  • Working knowledge of CPT and HCPCS codes.
  • Mandatory reporting certified or within 90 days of hire.
  • Overall attention to detail, organizational ability, and ability to prioritize.
  • The ability to work in teams and communicate accurately and clearly.
  • Computer experience using Microsoft Office Excel, Word and Outlook.
  • Proficient in English in order to communicate with patients, families, and other caregivers.
Preferred Education and Experience
  • Experience in hospital and/or medical facility.

Monroe County Hospital & Clinics offers an excellent benefits package including but not limited to:

  • Medical, Dental, and Vision Insurance
  • Health Savings Account
  • Flexible Spending Accounts and Dependent Care Accounts
  • Guardian Voluntary Insurance Plans
  • Life Insurance
  • IPERS
  • Generous PTO Package

Pre-employment drug screening and DCI checks required. E.O.E

Job Schedule

Full-time: Days, 8:00 a.m. – 4:30 p.m. (40 hours/week)

Location

Monroe County Hospital & Clinics, 6580 165th St Albia, IA 52531
Phone: (641) 932-1756 | Fax: (641) 932-1704 | Web: www.mchalbia.com