Siouxland District Health Claims Coordinator F/T

Department
Siouxland District Health
Salary
$20.72 - $/hour
Status
FT
Location
Sioux City
Posted
5/5/2023
Summary
Woodbury County benefits include: IPERS, Health Ins with $250/Ded; Free Dental, Life & LTD Ins; Sick leave benefits, Vacation, 10 paid Holidays and 2 Personal Days!ENTRY SALARY: $20.72 Hourly (Plus Benefits/IPERS)
Siouxland District Health Department offers a wide array of services in a progressive public health environment. Staff can interact with professionals working in our health promotions, environmental health, infectious disease, epidemiology, preparedness and family and community health areas. SDHD offers an onsite fitness room, involvement in wellness activities and a lactation/relaxation room. Starting salary is offered in a range based on experience along with an excellent benefit package, including medical, dental and vision insurance, sick and vacation time, paid holidays, IPERS and deferred compensation plan. Community opportunities for involvement exist.
Essential Functions
- The Claims Coordinator is responsible for processing Medicare, Medicaid, and MCO insurance billing, payment reconciliation, bookkeeping, correspondence, and reporting in an accurate and timely manner. Interacts with agency staff to resolve claim issues.
- Performs quality control activities, including verifying accurate charting, adherence to agency cash handling policies, and reviewing eligibility for agency programs. Maintains good standing with Medicare and Medicaid for all agency provider types and assists with activities related to adding provider types and obtaining NPI assignment for electronic billing.
- Remains knowledgeable of regulations that affect billing and reimbursement, maintains access to dedicated websites, and portals.
- Work involves problem solving and interpretation of standard policy and procedures. Includes various clerical duties and interactions with the public which frequently require independent decisions.
- Reports to the Director of Business Services.
Essential Knowledge, Experience, and Ability
Qualifications:
- Must possess some post-secondary education or minimum of three years of experience performing clerical work and processing claims in a health or human service professional setting.
- Requires an advanced understanding of computer functions i.e., Microsoft Office, database systems, financial systems, health billing systems, internet, electronic mail, and software systems.
- Physical ability to perform required tasks, including ability to lift and transport objects up to 50 pounds.

