1

Billing Insurance Jobs in Iowa (NOW HIRING)

Financial Billing Analyst

Des Moines, IA

$46K - $62K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... insurance, 401(k) plan, paid time off and holidays, education reimbursement, and various bonus ... Validate billing requirements, budgets, rates, due dates, payment terms, contract information ...

Financial Billing Analyst

Des Moines, IA · On-site

$46K - $62K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Terracon is seeking a skilled Billing Analyst to play a key role in managing billing processes ... insurance, 401(k) plan, paid time off and holidays, education reimbursement, and various bonus ...

Energy Billing Processor

Winterset, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Enters data and reconciles information to ensure accuracyCoordinates billing activities with energy ... insurance, and moreSolid retirement future with a 100% company-funded Pension Plan at no cost to ...

Energy Billing Processor

Winterset, IA

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Coordinates billing activities with energy customer service team * Completes daily activities to ... Competitive benefits including medical, dental, vision, and life insurance, and more * Solid ...

Energy Billing Processor

Winterset, IA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Coordinates billing activities with energy customer service team * Completes daily activities to ... Competitive benefits including medical, dental, vision, and life insurance, and more * Solid ...

At Shelter, we do not require a previous background in the insurance industry. While the experience ... This could include advertising contracts, telephone bills, and utilities. A true business owner ...

Showing results 21-40

Billing Insurance information

What does a billing insurance specialist do?

A Billing Insurance specialist is responsible for managing and processing insurance claims for healthcare providers or organizations. They review patient medical records, prepare and submit insurance claims, and follow up with insurance companies to ensure timely and accurate reimbursement. Additionally, they address claim denials, resolve discrepancies, and often communicate with patients regarding their insurance coverage. This role requires attention to detail, knowledge of medical coding, and familiarity with insurance policies and regulations.

What skills and qualifications are needed to thrive as a billing insurance specialist?

To thrive as a Billing Insurance Specialist, you need a solid understanding of medical billing codes, insurance policies, and claims processing, typically supported by a certificate in medical billing or healthcare administration. Familiarity with billing software (such as Epic, Kareo, or Medisoft) and electronic health records is commonly required. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These competencies are crucial for ensuring accurate claim submissions, minimizing denials, and maintaining steady revenue flow for healthcare organizations.

What are common challenges faced by professionals in billing insurance, and how can they be managed?

Professionals in Billing Insurance often encounter challenges such as navigating complex insurance policies, handling claim denials, and maintaining up-to-date knowledge of changing regulations. Effective management of these issues typically involves strong attention to detail, proactive communication with both patients and insurance providers, and ongoing education through training or industry updates. Many organizations also encourage collaboration with other departments, such as patient services and coding specialists, to resolve discrepancies and ensure accurate billing. Staying organized and adaptable is key to success in this dynamic environment.

What is the difference between Billing Insurance vs Claims Processor?

AspectBilling InsuranceClaims Processor
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification may be required
Work EnvironmentMedical offices, insurance companiesInsurance companies, healthcare facilities
Primary ResponsibilitiesGenerate bills, verify insurance coverageReview and process insurance claims
Industry UsageHealthcare, insuranceInsurance, healthcare

Billing Insurance focuses on creating and managing patient bills and verifying coverage, while Claims Processors handle reviewing and processing insurance claims for reimbursement. Both roles require similar credentials and work in related environments, but their core tasks differ within the insurance and healthcare industries.

Is it hard to get hired as a billing insurance?

Getting hired as a billing insurance specialist typically requires attention to detail, knowledge of medical billing procedures, and familiarity with billing software. While some entry-level positions are available, advanced roles may require certifications such as CPC or CPC-H and relevant experience, which can influence the ease of employment.

What is billing work in insurance?

Billing work in insurance involves processing and submitting claims for reimbursement, verifying coverage, and ensuring accurate coding of services. Insurance billing specialists use tools like billing software and must understand insurance policies and coding standards to facilitate timely payments.

What are popular job titles related to Billing Insurance jobs in Iowa?

For Billing Insurance jobs in Iowa, the most frequently searched job titles are:

Infographic showing various Billing Insurance job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

PROJECT ACCOUNTING & BILLING MANAGER

DGR Engineering

Rock Rapids, IA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


Job description

DGR Engineering is a growing engineering firm with offices in Rock Rapids, Sioux City, and Sioux Center, Iowa, as well as Sioux Falls, Rapid City, and Belle Fourche, South Dakota. DGR has been recognized with the Circle of Excellence award as one of the top 20% of firms for the last ten years by PSMJ Resources and has been named a Des Moines Register Top Workplace for the last six years.

DGR Engineering offers a competitive salary and benefits package, along with opportunities for advancement and ownership in a challenging and professional work environment. Our competitive benefits package includes:

  • Medical, Dental, and Vision Insurance
  • Healthcare and Dependent Care Flexible Spending Accounts
  • CompanyPaid Life Insurance
  • CompanyPaid ShortTerm and LongTerm Disability Insurance
  • 401(k) Retirement Plan with Company Match
  • Employee Profit Sharing
  • Paid Time Off
  • Paid Holidays
Position Summary

The Project Accounting & Billing Manager is responsible for firmwide project accounting, billing operations, and revenue-related controls for a multi-discipline engineering firm. This role serves as the primary authority for project setup, contract and billing compliance, monthly revenue processing, invoicing, and project close-out in Deltek Vision. The position partners closely with Project Managers, the Controller, and Finance leadership to ensure accurate financial reporting, policy compliance, and consistent application of firm billing standards.

Key Responsibilities – Project Setup & Contract Administration

• Oversee all project setup, revisions, and close-out processes in Deltek Vision, including billing terms, revenue settings, retainers, and contract documentation.
• Review and interpret contracts, amendments, and billing provisions to ensure accurate system configuration and compliance.
• Maintain authoritative project records, contract files, and Project Manager Authorization Forms (PMFs).

Billing Operations & Client Invoicing

• Direct the monthly draft and final billing cycle, including PAD preparation, review, adjustment, and posting.
• Ensure invoices are prepared accurately and timely in accordance with contract terms, DOT requirements, and firm standards.
• Serve as the escalation point for complex billing issues, lump sum revenue treatment, retainers, and billing adjustments.
• Coordinate billing approvals, invoice distribution, and documentation retention.

Revenue Recognition & Monthly Close Support

• Support revenue recognition processes, including unbilled analysis, revenue adjustments, and reconciliation of Project Analysis Detail (PAD) reports.
• Review project financials to confirm revenue, billed, and unbilled balances are properly aligned prior to month-end close.
• Partner with the Controller during monthly close to ensure integrity of project revenue data.

Project Financial Oversight & Project Manager Support

• Act as the primary financial resource to Project Managers regarding project setup, billing structure, revenue treatment, and financial reports.
• Review project activity for billing accuracy, inactive project eligibility, and compliance with firm policies.
• Assist Project Managers with resolving billing disputes, billing backup requirements, and client inquiries.

Compliance, Reconciliations & Reporting

• Prepare and file required sales and use tax reports, including department of transportation-related filings.
• Perform reconciliations of retainers, retainage, sales tax, use tax, deposits, and Deltek tolerance reports.
• Support audit requests, year-end reconciliations, and regulatory documentation related to project accounting and billing.

Systems Ownership & Process Improvement

• Serve as the functional owner of Deltek Vision project accounting and billing workflows.
• Assist with system access, user permissions, and internal controls related to project financial data.
• Identify and implement process improvements to enhance billing accuracy, efficiency, and scalability.

Position Authority

• Final authority over project billing configuration, PAD processing, and project close-out readiness.
• Authorized to enforce firm billing and project accounting policies.
• Designated escalation point for project accounting, billing, and revenue issues.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field.
• Five or more years of project accounting and billing experience in an A/E or professional services environment.
• Advanced experience with Deltek Vision (or Vantagepoint).
• Strong contract interpretation, reconciliation, and compliance skills.

DGR Engineering is an Equal Opportunity Employer (EOE). DGR Engineering complies with all applicable federal, state and local laws regarding hiring and employment. Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, gender identity, disability or veteran status.