Revenue Cycle and Claims Specialist chez Iowa Home Care LLC

Description

The Revenue Cycle and Claims Specialist is responsible for managing and resolving outstanding receivables for private, state and federal insurance programs. This position plays a key role in maintaining the financial health of the agency by ensuring timely and accurate claim submission, payment posting, and follow-up on unpaid claims. The ideal candidate will have a strong background in medical billing and collections, with previous experience in home health or home care preferred.

Key Responsibilities

• Review and process insurance claims for accuracy and compliance with payer requirements.
• Follow up on unpaid or denied claims through communication with payers and internal teams.
• Work directly with state and federal insurance programs (Medicaid, Medicare, and Managed Care Organizations) to ensure all receivables are collected in a timely manner.
• Research and resolve claim discrepancies, denials, and payment issues.
• Post payments and adjustments accurately within the billing system.
• Maintain detailed documentation of all collection activities.
• Collaborate with clinical and administrative staff to support accurate and complete claim documentation.

Qualifications

• Prior experience in medical billing, collections, or healthcare claims management required.
• Previous home health or home care experiences are strongly preferred.
• Knowledge of Medicare, Medicaid, and managed care billing guidelines.
• Proficiency with electronic health record (EHR) systems and billing software.
• Strong organizational and communication skills.
• Attention to detail and ability to meet deadlines in a fast-paced environment.

Why Join Iowa Home Care

• Full Benefits Program to include Health, Dental, Vision, Disability, and Life Insurance 
• PTO to include Paid Holidays 
• Employee Assistance Program
• Excellent 401K with Employer Match
• Wellness Program with on-site gym 

Qualifications