Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1314338 Posted On 09/26/2024 **Job Overview** **Claims Processing Representative** Position located in Dubuque, IA; telecommuting options available **Grand River Medical Group, a leading healthcare provider in the Dubuque and tri-state area, is currently seeking an experienced Claims Representative. This is a full-time position, 40 hours per week. Position is eligible to work from home after the probation period with the expectation to report to the office once per week.** **Summary:** The Claims Processing Representative will provide a key role in reviewing and analyzing dialysis claims rejections, corrections and running financial reports. **Duties include but are not limited to:** + Answer incoming Revenue Cycle calls from patients and staff. + Assist patients courteously with billing questions, payments, and complaints over the phone. + Review and update patient information, making necessary changes and capturing correct patient demographics and insurance information. + Prepare commercial insurance checks to be posted. **Education/Experience/Skills:** + High school diploma or general education degree (GED); and two to three years' of similar or related experience; or equivalent combination of education and experience. + Knowledge of dialysis process and dialysis billing – preferred. + Ability to use computer, office equipment, including keyboard skills. + Ability to work under multiple priorities. + Ability to work independently, as a team and with dialysis staff and/or patients as needed for insurance purposes. + Must possess knowledge of UB-04 billing for Dialysis services and reimbursement in compliance with CPT and ICD guidelines. + Must possess strong interpersonal and communication skills – verbal and written. **We offer:** A competitive hourly wage plus a very attractive benefits package including vacation, generous company provided benefits, and much more. Grand River Medical Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, status as a protected veteran, or status as a qualified individual with disability. Primary Contact 285154 Miranda Lange Human Resource Generalist, Human Resources 563-557-3908 Phone Phone Phone 563-589-4063 Fax mmlange@gr-mg.com Email True False True **Job Details** Categories Education Health Care Insurance Location Dubuque, IA Job Type Employee Full/Part Full Time Pay/Salary $16 - $19.19 per hour Company ID 1038 Job REQ # 1314338 \# Positions 1 Start Date 20240926 End Date 20241102 Featured Job TH Ad TH Comments **Similar Jobs** Acquisitions Sales Representative – Higher Educa Kendall Hunt Publishing Company Patient Service Representative - Peosta Grand River Medical Group Patient Financial Services Representative Southwest Health Claims Administrator Cottingham & Butler/ SISCO Client Service Representative Cottingham & Butler/ SISCO Sales Executive - Casualty Claims (Fully Remote) Cottingham & Butler/ SISCO Patient Service Representative-Urology Clinic UnityPoint Health Finley Hospital Auto Liability Bodily Injury Claims Examiner Sedgwick Claims Adjuster - Liability Sedgwick Commercial Auto Claims Representative - Liability Sedgwick **Share this Job** Grand River Medical Group **About the Company** Grand River Medical Group was founded in 2016 when three clinics, formerly known as, Dubuque Family Practice, Dubuque Internal Medicine, and Dubuque Pediatrics merged to continue providing you and your family high quality healthcare. As well as improve coordination of healthcare in the community. Grand River Medical Group consists of more than 360 team members, including over 55 physicians and advanced practicing professionals. The clinic has six convenient locations throughout Dubuque. Our mission is to be the area's trusted choice by providing patient-centered, high quality healthcare to patients of all ages, in a physician-led, professionally managed organization.