Insurance Claims Specialist

Job Description

Job Description

About the Role

We are seeking an experienced, detail-oriented Insurance Claims Analyst / Specialist to join our team in Cedar Rapids. In this role, you will manage the full lifecycle of insurance claims, from initial submission and prior authorizations to resolving complex denials and appeals. If you have a sharp eye for detail, a strong understanding of payer guidelines, and a drive to resolve financial irregularities, we want you on our team!

Key Responsibilities

Claim Management: Efficiently submit and systematically follow up on all insurance claims.

Denials & Appeals: Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement.

Prior Authorizations: Prepare, submit, and track prior authorization requests.

Compliance: Stay current on and ensure strict compliance with all medical/payer guidelines and regulations.

Account Resolution: Actively monitor accounts for non-payments, delayed payments, and other irregularities; resolve unpaid claims promptly.

Qualifications & Experience

Required: Proven experience as an Insurance Claims Processor, Billing Specialist, or Claims Analyst.

Deep understanding of insurance terminology, payer guidelines, and claim submission processes.

Strong analytical, problem-solving, and communication skills.

High attention to detail and ability to spot account irregularities.

Perks & Benefits

We value our employees' hard work and offer a supportive work environment with excellent incentives:

Sign-On Bonus: $500 bonus after successful completion of a 60-day probationary period.

Work-Life Balance: Flexible daily hours with no nights and no holidays required .

Paid Time Off: Generous paid vacation and paid sick time.

Career Growth: Enjoy peace of mind with a guaranteed pay raise .

Our small Mastectomy & Compression boutique measures and fits customers in bra's, breast forms and a variety of compression garments. The insurance filing comes into play when a customer has a prescription from the Dr. and can be filed to their insurance.

Company Description

Our small Mastectomy & Compression boutique measures and fits customers in bra's, breast forms and a variety of compression garments. The insurance filing comes into play when a customer has a prescription from the Dr. and can be filed to their insurance.