Medical Claims Specialist

1 week ago


Sioux City, Iowa, United States Cassena Care Full time

Cassena Care is seeking a skilled Medical Claims Specialist to join our team of professionals.

Responsibilities include:

  • Collecting, entering, and processing primary and/or secondary claim information for multiple SNF locations.
  • Monitoring verifications and authorizations obtained and ensuring complete service spans are covered.
  • Providing business office manager and/or responsible party inquiries on account status and charges.
  • Researching and resolving zero payment explanations or benefits and exercising all options to obtain claims payments.
  • Timely submission of SNF claims to various insurance companies.
  • Preparing and generating clean claims for submission to all payor types, including third-party payors, Medicare, and Medicaid.
  • Developing and maintaining working relationships with internal/external providers to ensure billings and collections procedures are current.
  • Monthly billing for all Commercial and Managed Care plans.
  • Overseeing authorization process to ensure accuracy.
  • Creating deposits weekly.
  • Posting cash to resident ledgers weekly.
  • Following up on all outstanding A/R.

Qualifications:

  • High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.
  • Experience in area of billing, denials review, and accounts receivable processes required.
  • Medicaid and Managed Care Billing Experience.

We offer a competitive salary, generous PTO package, health/dental benefits, and 401k plan.



  • Sioux City, Iowa, United States Jobot Full time

    Job Title: Workers' Compensation Claims SpecialistAt Jobot, we're seeking an experienced Workers' Compensation Claims Specialist to join our dynamic team in the technology industry. This role is integral to our risk management strategy and will focus on managing and resolving workers' compensation claims.Responsibilities:Manage all aspects of workers'...


  • Sioux City, Iowa, United States Jobot Full time

    Workers' Compensation Claims SpecialistJob Summary:We are seeking an experienced Workers' Compensation Claims Specialist to join our dynamic team in the technology industry. This role is integral to our risk management strategy and will focus on managing and resolving workers' compensation claims.Key Responsibilities:Manage all aspects of workers'...


  • Sioux City, Iowa, United States Jobot Full time

    Job SummaryWe are seeking an experienced Workers' Compensation Claims Specialist to join our dynamic team in the technology industry. This role is integral to our risk management strategy and will focus on managing and resolving workers' compensation claims. The ideal candidate will have a strong background in claims handling, investigation, and risk...


  • Iowa City, Iowa, United States State Farm Mutual Automobile Insurance Company Full time

    Property Claims SpecialistAt State Farm, we're looking for a skilled Property Claims Specialist to join our team. As a key member of our claims handling process, you'll be responsible for conducting on-site inspections and assessments of property damages for both residential and commercial claims. You'll collaborate with policyholders, insurance agents, and...


  • Iowa City, Iowa, United States State Farm Mutual Automobile Insurance Company Full time

    Job Title: Property Field Inspection Claim SpecialistState Farm Mutual Automobile Insurance Company is seeking a highly skilled Property Field Inspection Claim Specialist to join our team. As a key member of our claims handling team, you will be responsible for handling accidental and weather-related claims for homeowners, commercial properties, and large...


  • Iowa City, Iowa, United States State Farm Mutual Automobile Insurance Company Full time

    OverviewState Farm is seeking a highly skilled Property Field Inspection Claim Specialist to join our dynamic team. As a key member of our claims handling process, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and commercial claims.You will collaborate with policyholders, insurance agents,...


  • Iowa City, Iowa, United States State Farm Mutual Automobile Insurance Company Full time

    Job Title: Property Field Inspection Claim SpecialistState Farm Mutual Automobile Insurance Company is seeking a highly skilled Property Field Inspection Claim Specialist to join our team. As a key member of our claims handling team, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and...


  • Iowa City, Iowa, United States State Farm Mutual Automobile Insurance Company Full time

    Job SummaryState Farm Mutual Automobile Insurance Company is seeking a highly skilled Property Field Inspection Claim Specialist to join our team. As a key member of our claims handling process, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and commercial claims. Key Responsibilities•...


  • Iowa City, Iowa, United States State Farm Mutual Automobile Insurance Company Full time

    OverviewState Farm is seeking a highly skilled Property Field Inspection Claim Specialist to join our team in Iowa City/Cedar Rapids, IA. As a key member of our claims handling team, you will be responsible for conducting on-site inspections and assessments of property damages for both residential and commercial claims.Our ideal candidate will have a strong...


  • Iowa City, Iowa, United States State Farm Full time

    OverviewState Farm is a leading insurance company that invests in its employees by providing a competitive Total Rewards package. We are seeking a highly skilled Property Field Inspection Claim Specialist to join our dynamic team.ResponsibilitiesConduct on-site inspections and assessments of property damages for both residential and commercial...


  • Iowa City, Iowa, United States Community & Family Resources Full time

    Medical Billing Specialist OpportunityCommunity and Family Resources is seeking a skilled Medical Billing Specialist to join our team in Iowa City. As a key member of our team, you will be responsible for preparing and filing insurance claims, maintaining accurate records, and ensuring timely payments.Key Responsibilities:Prepare and file insurance claims...


  • Sioux City, Iowa, United States Seaboard Full time

    Job Title: Lead Health Services SpecialistSeaboard Triumph Food is seeking a highly skilled and experienced Lead Health Services Specialist to join our team. As a key member of our health services department, you will be responsible for providing medical care and support to our employees who are injured on the job.Key Responsibilities:Triage and provide...

  • Claims Adjuster

    1 week ago


    Iowa City, Iowa, United States EMC Insurance Full time

    Job Summary:As a Casualty Claims Adjuster I at EMC Insurance, you will play a critical role in investigating, negotiating, and resolving auto and casualty claims of moderate complexity. You will work independently, exercising sound judgment and adhering to the company's Claims Guide. Your strong communication skills will enable you to effectively interact...

  • Claims Adjuster II

    1 week ago


    Iowa City, Iowa, United States EMC Insurance Full time

    Job SummaryEMC Insurance is seeking a highly skilled Claims Adjuster II to join our team. As a key member of our claims department, you will be responsible for investigating and evaluating complex auto and casualty claims. Your expertise will be essential in ensuring that our customers receive fair and timely resolutions to their claims.Key...


  • Iowa City, Iowa, United States Community & Family Resources Full time

    Job Summary:Community and Family Resources is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for preparing and filing insurance claims for clients covered by insurance and maintaining records of payment from insurance and balances due from clients on accounts.Key...


  • Iowa City, Iowa, United States Ballad Health Full time

    Job Summary:Ballad Health Medical Equipment Services/Mediserve is seeking a skilled Medical Equipment Billing Specialist to join our team. The successful candidate will be responsible for performing billing and collection functions, utilizing knowledge of insurance carriers and medical terminology. This role requires effective communication with insurance...


  • Iowa City, Iowa, United States EMC Insurance Full time

    Job SummaryEMC Insurance is seeking a highly skilled Senior Casualty Claims Adjuster to join our team. As a key member of our claims department, you will be responsible for resolving complex claims and providing exceptional customer service.Key ResponsibilitiesReview claim notices, lawsuits, contracts, and policies to verify coverage, deductibles, claim...


  • Sioux City, Iowa, United States Mid-Step Services Full time

    Job Title: Human Resources SpecialistMid-Step Services, a non-profit organization, is seeking an experienced Human Resources Specialist to join our team.Job Summary:The Human Resources Specialist will be responsible for the overall training assessment, development, and implementation for all staff. This includes training and orientation of new staff,...


  • Sioux City, Iowa, United States Biolife Plasma Services Full time

    About the RoleBioLife Plasma Services is seeking a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. As a Medical Support Specialist, you will determine donor eligibility, manage donor adverse events, review laboratory test results, and notify donors of unsuitable test results. You will work under the guidance of the...


  • Sioux City, Iowa, United States Cassena Care Full time

    Cassena Care Career OpportunityWe are seeking a highly skilled Managed Care Medical Biller to join our team of professionals at Cassena Care.Key Responsibilities:Collect, enter, and process primary and/or secondary claim information for multiple SNF locations.Monitor verifications and authorizations obtained to ensure complete service spans are...