Billing Specialist – Ankeny, IA I

The Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department. We’re looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and benefits available after 30 days of employment. Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week. Position Responsibilities may include, but not limited to • Create billing reports of assigned agencies • Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies • Reconciliation of assigned state or local agencies • Research and resubmit of billings to assigned agencies • Review quality assurance of all referrals or updated clients from assigned state or local agencies • Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings • Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives • Reduce payment agency backlog • Perform in-depth audits of project data to identify and resolve billing discrepancies • Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics • Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint • Manage complex billing scenarios including denials, rejections, and aging accounts • Collaborate with Posting teams to resolve discrepancies and support month-end close • Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.) • Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans • Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO’s, Medicare Advantage, and Older Americans Act programs • Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards • Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging • Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs Required Skills and Experience • High School Diploma or GED • 2+ years of work-related experience in healthcare related field, ie, healthcare billing institutional and professional claims, patient registration, and/or patient access • Intermediate level Excel skills • Strong oral and written communication skills • Ability to multi-task, set priorities, and pays close attention to detail • Strong ability to work with team members across multiple departments • Ability to work unsupervised with strong critical thinking and problem-solving skills • Experience with Waystar, CRM, D365, and/or electronic health record platforms • Must have a wired internet connection using an ethernet port. Broadband internet wired to the home is required – Cable Modem/service or Fiber Optic. No Satellite, 4/5G, or DSL circuits • Must have a quiet workspace that is free from distraction Preferred Skills and Experience • Bachelor’s degree in healthcare administration, medical administrative assistance, or healthcare finance • Previous experience with electronic claims, such as electronic 835/837 claim and remit files, Zirmed, and/or secure payer web portals • AAHAM and/or HFMA certification • Knowledge of CMS regulation and strong familiarity with healthcare billing standards and compliance • Experience with Waystar, CRM, D365, and/or electronic health record platforms Physical Requirements • Repetitive motions that include the wrists, hands and/or fingers • Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods • Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus Company Overview Mom’s Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide for over 25 years. We provide seniors, patients recovering post-discharge and those managing a chronic condition with tailored nutrition solutions to manage their specific needs. If you are passionate about the well-being of others and have a strong sense of community, Mom’s Meals could be the place for you! We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference in the lives of others. EEO Mom’s Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants shall receive consideration for employment without regards to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation or military status.