Claims Processing Representative **Grand River Medical Group** 1 Positions ID: 1405087 Posted On 01/17/2025 **Job Overview** **Claims Processing Representative** Position located in Dubuque, IA; telecommuting options available Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide a key role in reviewing and analyzing claims rejections, corrections and running financial reports. The ideal candidate would understand medical terminology, anatomy and physiology, possess strong computer skills, be detail oriented, able to multi-task, work independently or part of a team and be able to communicate effectively. **This is a full-time position, 40 hours per week.** Typical schedule is 8:00am to 5:00pm with the ability to work a hybrid model after introductory period of some work from home and some in office days, with no evening or weekend requirements **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. + Process, research, and post all personal payments to patient accounts with accuracy. + Provide Good Faith Estimates to patients prior to appointments. + Prepare refunds appropriately and accurately. + Assist with updating and maintaining proper billing alerts and notifying patients of alerts prior to appointment. **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 insurance 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 staff and/or patients as needed for insurance purposes. + Must possess knowledge of billing for 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 independent physician owned practice located in Dubuque, IA. We provide a wide range of healthcare services from primary care to subspecialty care for adults and children. We currently employ over 300 team members who help support the practices and clinical operations of over 55 physicians, nurse practitioners and physician assistant clinics, our urgent care network, and four dialysis units located in Iowa (Manchester and Dubuque) and Wisconsin (Platteville and Richland Center). 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 # 1405087 \# Positions 1 Start Date 20250117 End Date 20250322 Featured Job TH Ad TH Comments **Similar Jobs** Patient Service Representative - Call Center Grand River Medical Group Client Service Representative Cottingham & Butler/ SISCO Client Service Representative Cottingham & Butler/ SISCO Workers Compensation Claims Adjuster (California E Cottingham & Butler/ SISCO Workers Compensation Claims Adjuster (Montana expe Cottingham & Butler/ SISCO Claims Administrator Cottingham & Butler/ SISCO Claims Coordinator Cottingham & Butler/ SISCO Central Processing Technician/Surgical Technician Grant Regional Health Center Patient Access Representative Southwest Health Patient Service Representative-Urology Clinic UnityPoint Health Finley Hospital **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.