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Claims Processing Representative

Job Overview

Claims Processing Representative

Position located in Dubuque, IA; telecommuting options available

Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide a key role in reviewing and analyzing claims rejections, corrections and running financial reports.

The ideal candidate would understand medical terminology, anatomy and physiology, possess strong computer skills, be detail oriented, able to multi-task, work independently or part of a team and be able to communicate effectively.

This is a full-time position, 40 hours per week. Typical schedule is 8:00am to 5:00pm with the ability to work a hybrid model after introductory period of some work from home and some in office days, with no evening or weekend requirements

Duties include but are not limited to:

• Answer incoming Revenue Cycle calls from patients and staff.
• Assist patients courteously with billing questions, payments, and complaints over the phone.
• Review and update patient information, making necessary changes and capturing correct patient demographics and insurance information.
• Prepare commercial insurance checks to be posted.

Education/Experience/Skills:

• High school diploma or general education degree (GED); and two to three years' of similar or related experience; or equivalent combination of education and experience.
• Knowledge of insurance billing - preferred.
• Ability to use computer, office equipment, including keyboard skills.
• Ability to work under multiple priorities.
• Ability to work independently, as a team and with staff and/or patients as needed for insurance purposes.
• Must possess knowledge of billing for services and reimbursement in compliance with CPT and ICD guidelines.
• Must possess strong interpersonal and communication skills - verbal and written.

We offer: A competitive hourly wage plus a very attractive benefits package including vacation, generous company provided benefits, and much more.

Grand River Medical Group is an independent physician owned practice located in Dubuque, IA. We provide a wide range of healthcare services from primary care to subspecialty care for adults and children. We currently employ over 300 team members who help support the practices and clinical operations of over 55 physicians, nurse practitioners and physician assistant clinics, our urgent care network, and four dialysis units located in Iowa (Manchester and Dubuque) and Wisconsin (Platteville and Richland Center).

Grand River Medical Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, status as a protected veteran, or status as a qualified individual with disability.