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Insurance Appeals Jobs in Iowa (NOW HIRING)

Trinity Center

FT Dietary Supervisor

Des Moines, IA · On-site

The dietary supervisor isresponsible for guiding the team to ensure the highest quality, appealing ... Insurance Company paid Log TermDisability Voluntary Short-termdisability, Hospital Indemnity ...

Trinity Center Inc

FT Dietary Supervisor

Des Moines, IA · On-site

The dietary supervisor isresponsible for guiding the team to ensure the highest quality, appealing ... Insurance Company paid Log TermDisability Voluntary Short-termdisability, Hospital Indemnity ...

New

Schwegman Lundberg & Woessner P.A.

IP prosecution, including preparation and prosecution of applications, appeals, re-examinations ... Health, dental, and vision insurance * Life insurance; long- and short-term disability * 401(k) ...

Medix

Medical Billing Specialist

Ankeny, IA · On-site

$23 - $28/hr

Submit appeals and work within billing portals and payer systems * Utilize Excel to track billing ... Term Life Insurance Plan. * We will consider for employment all qualified Applicants, including ...

Trice Healthcare

Coding Payment Resolution Spec

Des Moines, IA · On-site

$18.25 - $23.50/hr

Responsible for leveraging coding knowledge and standard procedures to track appeals through first ... insurance company, managed care organization or other health care financial service setting ...

Trinityhealth

Case Manager RN

Des Moines, IA · On-site

Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams. * Monitor insurance coverage and communicate updates to verification and ...

Trinityhealth

Case Manager RN

Des Moines, IA

Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams. * Monitor insurance coverage and communicate updates to verification and ...

Trinity Health

Case Manager RN

Des Moines, IA · On-site

Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams. * Monitor insurance coverage and communicate updates to verification and ...

Trinity Health

Case Manager RN

Des Moines, IA · On-site

Review and route denial notifications for appeal consideration; collaborate with post-denials, RAC, and appeal teams. * Monitor insurance coverage and communicate updates to verification and ...

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Insurance Appeals information

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.

What are the key skills and qualifications needed to thrive in insurance appeals?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an insurance appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

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

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

What job categories do people searching Insurance Appeals jobs in Iowa look for?

The top searched job categories for Insurance Appeals jobs in Iowa are:

What cities in Iowa are hiring for Insurance Appeals jobs?

Cities in Iowa with the most Insurance Appeals job openings:

Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Iowa as of August 2026, with employment types broken down into 2% As Needed, 73% Full Time, 21% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Behavioral Health Biller

Family Access Center

Sioux City, IA • On-site

$22/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 28 days ago

Job description

Job description

Family Access Center is hiring a Behavioral Health Biller to join our team, supporting and empowering individuals to overcome life's challenges by providing quality services in our Sioux City office.


Key Responsibilities

Claim Scrubber & Correction (Primary Focus)

  • Audit & Edit: Review, troubleshoot, and correct rejected, denied, or unpaid insurance claims via the clearinghouse or insurance portals.
  • Appeals Management: Investigate the root causes of claim denials (e.g., prior authorization issues, coordination of benefits, coding errors) and submit formal appeals with necessary medical documentation.
  • Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or processing errors.

Daily Billing Operations

  • Claim Submission: Prepare, review, and electronically submit daily clean claims for commercial insurance, Medicaid, Medicare, and managed care organizations (MCOs).
  • Coding Compliance: Verify that clinicians have documented correct ICD-10 diagnostic codes and mental health CPT codes (e.g., 90834, 90837, 90791) along with appropriate modifiers (e.g., 95 for telehealth).
  • Eligibility Verification: Confirm client insurance eligibility, mental health benefits, copays, deductibles, and track required prior authorizations.

Account & Client Management

  • Accounts Receivable (A/R) Tracking: Monitor the aging A/R report to actively follow up on outstanding claims over 30, 60, and 90 days old.
  • Patient Billing Support: Answer client inquiries regarding statements, deductibles, coverage discrepancies, and coordinate payment plans.
  • Provider Feedback: Communicate regularly with clinical staff to resolve missing documentation, signature requirements, or recurring coding errors.


Required Qualifications & Skills

  • Experience: 2+ years of dedicated medical billing experience, with a strict preference for mental/behavioral health billing.
  • Technical Savvy: Proficiency utilizing Electronic Health Record (EHR) systems and billing clearinghouses (e.g., SimplePractice, TherapyNotes, Kareo, Waystar, Availity).
  • Industry Knowledge: Strong familiarity with mental health CPT billing codes, modifiers, DSM-5/ICD-10 crosswalks, and timely filing limits.
  • Analytical Skills: High proficiency in reading and interpreting complex Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
  • Communication: Strong verbal and written communication skills for negotiating with insurance representatives and speaking empathetically with patients.
  • Certification (Preferred): Certified Medical Coder (CMC) or Certified Professional Biller (CPB) designation is a plus.


Benefits:

  • Tuition Assistance
  • Paid Time Off
  • Holiday Pay
  • Health Insurance
  • Life Insurance
  • 401(k) plan
  • 401(k) matching
  • Referral Bonus


Job Types: Full-time


Salary: $22–28 per hour


Work Location: 1221 Pierce St., Sioux City, IA, 51105