ChildServe Insurance and Authorization Representative in Johnston, Iowa

Insurance and Authorization Representative

Admin & Support (Operations, Accounting, HR, PR)
Johnston, Iowa

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Description

We are looking for an Insurance and Authorization Representative who can ensure billing can process a clean claim. Responsibilities include entering all insurance data into practice management system, verifying benefit coverage is active for new and existing patients, obtaining a prior authorization for services, and reauthorizing clinical visits/hours as needed. Individual will also provide pre-collections medical billing services to families of ChildServe by calling to secure funding.What You'll Do

  • Verify active insurance coverage for every patient in outpatient services before scheduling can occur, and follow up with families when active coverage isn’t available.

  • Fill out necessary verification paperwork accurately and in a timely manner in order to maintain scheduling service level.

  • Obtain and send all necessary clinical documentation to insurance companies in order to receive a prior authorization/pre-certification of services as needed.

  • Track and monitor patients that will require a re-authorization for additional therapy treatment sessions.

  • Assist with annual insurance update process.

  • Complete other duties as assigned.

What You'll Need

  • High School Degree or GED equivalent required.

  • Must exercise confidentiality regarding the affairs of clients, staff, their families, and ChildServe.

  • Must be able to work at a computer for more than 6 hours per day and perform keyboarding activities.

  • Ability to work accurately, and efficiently with frequent interruptions, while meeting time-bound requests..

  • Ability to work onsite with regular and predictable attendance.

  • Ability to communicate effectively and professionally with others, both verbally and in writing.

  • Ability to communicate effectively in reading, writing, and speaking the English language.

Schedule: Monday - Friday, 8:00 am to 4:30 pm

Who We Are

At ChildServe, no position is ever “just a job.” Working at ChildServe allows you to live every day knowing that you have helped to improve the lives of children and families.

To tell you about everything we do would take a whole website (you can check ours out HERE). To tell you the amazing stories of the over 4,500 children we serve each year would take even longer (you can read many of them HERE). We promise you’ll be inspired and come away with a deeper understanding of our unique culture and services.

We provide over 30 pediatric healthcare programs and services in Ames, Des Moines and Iowa City. We hire many positions, from expert caregivers, medical professionals, administrative staff (and everything in between), and each team member plays an important role in fulfilling our mission.

ChildServe has been a Top Workplace in Iowa for five years running, thanks to our passionate team and our commitment to outstanding care. To help us learn more about how your talents and skills can make a difference at ChildServe, apply today.