We are looking for an Insurance and Authorization Representative who can ensure billing can process a clean claim. Responsibilities include entering all insurance data into practice management system, verifying benefit coverage is active for new and existing patients, obtaining a prior authorization for services, and reauthorizing clinical visits/hours as needed.

Schedule

Monday-Friday: Typical business hours

What You'll Do

• Verify active insurance coverage for every patient in outpatient services before scheduling can occur, and follow up with families when active coverage isn’t available.
• Fill out necessary verification paperwork accurately and in a timely manner in order to maintain scheduling service level.
• Obtain and send all necessary clinical documentation to insurance companies in order to receive a prior authorization/pre-certification of services as needed.
• Track and monitor patients that will require a re-authorization for additional therapy treatment sessions.
• Assist with annual insurance update process.
• Complete other duties as assigned.

• Required: High School Degree or GED equivalent
• Preferred: Experience working with medical insurance
• Must exercise confidentiality regarding the affairs of clients, staff, their families, and ChildServe.
• Must be able to work at a computer for more than 6 hours per day and perform keyboarding activities.
• Ability to work accurately, and efficiently with frequent interruptions, while meeting time-bound requests..
• Ability to work onsite with regular and predictable attendance.
• Ability to communicate effectively in reading, writing, and speaking the English language.
• This position may be subject to COVID-19 safety requirements. If applicable, specific requirements will be discussed during the interview process.

Why ChildServe?

ChildServe has earned the title of Top Workplace every year since 2014. Here’s why employees love working here:

• Our work matters. We partner with families to help children with special healthcare needs live a great
• We’re not your average non-profit. We serve 5,600 children each year through over 30 specialty pediatric services in the Ames, Des Moines, and Iowa City areas. Many of our programs are one-of-a-kind.
• Our team members rock. Our teams are filled with people who care about their coworkers, and who believe that collaboration is key to providing exceptional care to children.
• Our learning never stops. As a non-profit dedicated to innovation, we’re proud to help many team members gain new certifications, continue their education, take their expertise to the next level, and find new opportunities to advance their career right here at ChildServe.
• We’re moving forward together. Experts across multiple disciplines work together to help kids get the best care possible.

Ready to leave work every day knowing you’ve made a difference for kids and families? Let’s move Forward Together - apply today!