Revenue Cycle Representative II (Full Time)

Looking for a career where you love what you do and who you do it with? You’re in the right place.Healthcare here is different – we’re locally owned and led by our physicians, and all decisions are always made right here in Central Iowa.By working at The Iowa Clinic, you’ll get to make a difference while seeing a difference in our workplace. Because as one clinic dedicated to exceptional care, we’re committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place.Think you’ve got what it takes to join our TIC team? Keep reading…A day in the life…Wondering what a day in the life of a Revenue Cycle Representative II at The Iowa Clinic might look like?Claims Denials and Follow-UpPerform timely follow-up on underpaid or denied claims using internal systems, payer websites, and phone calls. Review and resolve denied claims per payer policies through corrected claims, reconsiderations, or appeals. Demonstrate capacity to work across a variety of queues, including multiple plans/payers and diverse denial types. Review complex cases requiring detailed analysis of documentation and payer policies that could include making updates to billed charges or diagnosis as supported in medical records. Provide applicable medical records to payers to support billing and adjudication as needed. Meet production expectations while maintaining high quality and reducing denied or pending claims. Payer & Industry ExpertiseMonitor industry updates and payer-specific policies; share relevant information with team and leadership. Team Collaboration & Professional StandardsDemonstrate professionalism, maintain confidentiality, and promote a positive impression of the organization. Ensure compliance in coding updates, patient, and financial information. Support overall workload of the denial team as needed. Work collaboratively with team members and leadership in a shared office environment to support communication, training, and operational efficiency. This job might be for you if…EducationHigh school diploma or equivalentQualificationsMinimum 2 years of experience working in a medical office or billing environment with medical billing, denials and insurance collections required. Previous experience working in a medical office and a working knowledge of revenue cycle and payer denial practices. Awareness of medical terminology required. Bonus points if…CPC PreferredExposure to different types of insurance programs preferred. Know someone else who might be a great fit for this role? Share it with them!What’s in it for youOne of the best 401(k) programs in central Iowa, including employer match and profit sharingEmployee incentives to share in the Clinic’s successGenerous PTO accrualsand paid holidaysHealth, dental and vision insuranceQuarterly volunteer opportunities through a variety of local nonprofitsTraining and development programsOpportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and onMonthly departmental celebrations, jeans days and clinic-wide competitionsEmployee rewards and recognition programHealth and wellness program with up to $350/year in incentivesEmployee feedback surveysAll employee meetings, team huddles and transparent communication