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Reimbursement Processor Jobs in Iowa (NOW HIRING)

Grifols

Plasma Processor

Wood, IA · On-site

$17/hr

Plasma Processor (Customer Service) - We train You are a fit for us if you have: * Superior ... reimbursement. Final compensation packages will ultimately depend on education, experience ...

UMB

Comml Loan Doc Proc II

Asbury, IA · On-site

$59K - $86K/yr

Loan Document Processor II The Loan Document Processor II is responsible for and has mastered the ... fitness reimbursement; tuition reimbursement; an associate wellbeing program; an associate ...

Bunge

Process Operator

Council Bluffs, IA · On-site

$28.56/hr

The Process Operator is assigned to a rotating shift. Position Details: This position works a 12 ... Tuition Reimbursement - after one year of service, eligible for tuition expenses reimbursement of ...

Bunge

Process Operator

Council Bluffs, IA · On-site

$28.56/hr

The Process Operator is assigned to a rotating shift. Position Details: This position works a 12 ... Tuition Reimbursement - after one year of service, eligible for tuition expenses reimbursement of ...

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Reimbursement Processor information

What is a reimbursement processor?

Reimbursement Processors are professionals responsible for reviewing, verifying, and processing claims for reimbursement, typically in healthcare, insurance, or corporate settings. They ensure that all documentation is accurate, complete, and compliant with relevant policies before approving payments. Their work helps organizations manage financial transactions efficiently and ensures that clients or employees receive timely reimbursements for eligible expenses. Reimbursement Processors also communicate with claimants to resolve discrepancies and answer questions about the reimbursement process.

What are the key skills and qualifications needed to thrive as a reimbursement processor?

To thrive as a Reimbursement Processor, you need strong attention to detail, familiarity with medical billing or insurance processes, and typically a background in finance, accounting, or healthcare administration. Experience with claims management software, electronic health records (EHRs), and proficiency in Microsoft Office, especially Excel, are often required. Excellent organizational skills, time management, and effective communication are valuable soft skills for this role. These abilities ensure accurate and timely processing of reimbursement claims, minimizing errors and supporting efficient financial operations within the organization.

What are the most common challenges faced by reimbursement processors, and how can they be managed effectively?

Reimbursement Processors often encounter challenges such as managing high volumes of claims, staying updated on changing insurance policies, and ensuring accuracy in documentation. Effective time management, strong attention to detail, and clear communication with both internal teams and external stakeholders are essential for overcoming these challenges. Many organizations provide ongoing training and support to help processors keep up with regulatory changes and improve workflow efficiency. Building strong relationships with colleagues in billing, finance, and customer service teams also helps streamline issue resolution and fosters a collaborative work environment.

What is the difference between Reimbursement Processor vs Claims Specialist?

AspectReimbursement ProcessorClaims Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma or equivalent; certifications like CPC may be preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare providers, third-party administrators
Job FocusProcessing reimbursements, verifying payment accuracyReviewing, processing, and adjudicating insurance claims

Reimbursement Processors primarily handle payment processing and verifying reimbursements, while Claims Specialists focus on reviewing and adjudicating insurance claims. Both roles require similar credentials and often work in healthcare or insurance settings, but their core responsibilities differ in scope and focus.

Reimbursement Processor jobs near you

Coding/Reimbursement Specialist-Certified

Fairfield, IA • On-site

Jefferson County Health Center
Health Care and Social Assistance • 201 - 500 employees
Learn more about Jefferson County Health Centerexternal

Other

Posted 11 days ago

Jefferson County Health Center rating

9.1

Company rating: 9.1 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

13th of 1,066 rated hospitals

Job description

This position is eligible for remote work in Iowa, after 90 days of training is completed onsite.
POSITION OVERVIEW (non-exempt):
The Outpatient Coding/Reimbursement Specialist is responsible for the retrieval, assembly, deficiency analysis, and coding of outpatient medical records in accordance with health center guidelines. This role ensures timely chart processing and accurate outpatient reimbursement through charging, auditing, and compliance with applicable regulations. The specialist collaborates closely with providers and ancillary department staff to support accurate documentation and billing practices.
QUALIFICATIONS:
  • CCS, CCA: Completion of an accredited certificate program for Medical/Insurance coding and successfully completing the AHIMA exam within 6 months of hiring. Must Maintain CCS/CCA credentials. 1-2 years of coding experience preferred, but not required
OR
  • RHIT: Completion of an accredited program for Health Information Technology, obtaining an Associate of Applied Science Degree and successfully completing the AHIMA examination within 6 months of hire. Must maintain RHIT credentials. 1-2 years of coding experience preferred, but not required
ACCOUNTABILITY:
Reports to Health Information Manager
DIRECT REPORTS:
None
POSITION-SPECIFIC REQUIREMENTS:
Coding & Compliance
  • Responsible for outpatient coding including ICD-10 CM & CPT
  • Required to stay updated with coding guidelines and participate in continuing education
  • Responsible for enforcing Medicare compliance guidelines as they apply to outpatient coding
  • Responsible for assigning Evaluation & Management, CPT, and modifiers on ED and observation patients
  • Operate Solventum encoder and Epic EHR efficiently
  • Performs monthly therapy coding correlation for cycle billing
Reimbursement & Auditing
  • Execute outpatient reimbursement functions including charging, auditing, and maintaining consistent interpretation of edits and regulations
  • Follow established procedures for coding claim edits
Documentation & Systems
  • Thorough knowledge and comprehension of established HIM office procedures, billing, coding routines and systems
  • Follow established procedures for chart deficiencies
  • Serve as backup to the Deficiency Clerk
General Duties
  • Attends all required meetings and in-services
  • Performs other related duties as requested or required
Skills and Competencies
  • Strong analytical, oral, written, and communication skills
  • Ability to communicate professionally and respectfully in person, remotely, and by phone.
  • Excellent organizational and time management skills
  • Ability to learn quickly from oral and written instructions
  • High attention to detail and accuracy
  • Proficient in Microsoft Outlook, Word, and Excel
  • Solid understanding of medical terminology, anatomy, and physiology
  • Proficiency in ICD-10-CM and CPT coding
  • Knowledge of HIPAA and healthcare compliance regulations
  • Ability to resolve coding discrepancies and collaborate with healthcare providers
  • Ability to work independently and manage multiple tasks efficiently
  • Strong teamwork skills with the ability to collaborate effectively across departments and contribute to a positive team environment
WORK ENVIRONMENT:
  • Works in a well-illuminated, climate-controlled environment
  • May come in contact with hazardous chemical or treatment modalities
  • Possibility exists of exposure to communicable diseases
  • Involvement in inpatient care may result in unavoidable work-related illness or injury
  • Work environment is comfortable, with minimal exposure to physical hazards
  • Moderate to loud noise environment when machines/equipment in use
  • Involvement in checking in/moving of supplies may result in unavoidable work-related injury
  • Must be constantly alert for patient/family emergency situations

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