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Remote Bcba Insurance Reviewer Jobs in Iowa (NOW HIRING)

Trinityhealth

Auditor Coding Specialist Remote

Des Moines, IA · Remote

$26.50 - $30.25/hr

Reviews patient medical records retrospectively and concurrently for the coding and sequencing of ... Serves as a resource for difficult coding questions and assists with insurance denials for ...

Trinity Health

Auditor Coding Specialist Remote

Des Moines, IA · On-site +1

$26.50 - $30.25/hr

Reviews patient medical records retrospectively and concurrently for the coding and sequencing of ... Serves as a resource for difficult coding questions and assists with insurance denials for ...

QuickVisit Urgent Care

Remote Receptionist (PRN)

Alleman, IA · On-site +1

$15 - $19.75/hr

Ensure patient demographic and insurance information is accurate and updated. Collect patient copay ... Reviews details and expectation of referral with the potential patient * Ensures that referrals are ...

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Remote Bcba Insurance Reviewer information

What is a remote BCBA insurance reviewer?

A Remote BCBA Insurance Reviewer is a Board Certified Behavior Analyst (BCBA) who works remotely to review and assess insurance claims related to applied behavior analysis (ABA) services. Their primary role is to evaluate treatment plans and documentation to ensure they meet insurance requirements for reimbursement. They help facilitate communication between ABA providers and insurance companies, ensuring that clients receive the coverage and services they are entitled to. This position typically requires a current BCBA certification, knowledge of insurance policies, and strong attention to detail.

What are the key skills and qualifications needed to thrive as a remote BCBA insurance reviewer?

To excel as a Remote BCBA Insurance Reviewer, you need board certification as a Behavior Analyst (BCBA), in-depth knowledge of ABA therapy, and experience with insurance review processes. Familiarity with electronic medical records (EMR), insurance billing software, and relevant documentation systems is crucial. Attention to detail, strong written communication, and the ability to interpret clinical data are vital soft skills for this role. These competencies ensure accurate authorization of services, compliance with payer requirements, and timely support for clients and providers in a remote setting.

What are some typical challenges a remote BCBA insurance reviewer may encounter when working with insurance claims?

As a Remote BCBA Insurance Reviewer, you may face challenges such as navigating varying insurance policies and requirements, managing high volumes of documentation, and ensuring timely communication with providers and clients. Each insurance company may have unique criteria for approving ABA services, requiring careful attention to detail and up-to-date knowledge of policy changes. Additionally, working remotely means consistently coordinating with multidisciplinary teams and maintaining secure, accurate records while meeting productivity expectations.

What is the difference between Remote Bcba Insurance Reviewer vs Remote Bcba Case Coordinator?

AspectRemote Bcba Insurance ReviewerRemote Bcba Case Coordinator
CertificationsBCBA, insurance knowledgeBCBA, case management experience
Work EnvironmentReviewing insurance claims remotelyCoordinating client cases remotely
Employer & IndustryInsurance companies, healthcare providersHealthcare organizations, therapy providers

The Remote Bcba Insurance Reviewer primarily evaluates insurance claims related to behavioral therapy, focusing on policy compliance. In contrast, the Remote Bcba Case Coordinator manages client cases, coordinating services and treatment plans. Both roles require BCBA certification and involve remote work, but their core responsibilities differ—one reviews insurance, the other manages client cases.

What are the most commonly searched types of Bcba Insurance Reviewer jobs in Iowa?

The most popular types of Bcba Insurance Reviewer jobs in Iowa are:

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For Remote Bcba Insurance Reviewer jobs in Iowa, the most frequently searched job titles are:

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Coding Representative (Remote Eligible)

The University Of Iowa

Iowa City, IA • On-site, Remote

$45K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 11 days ago

University Of Iowa rating

6.9

Company rating: 6.9 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

462nd of 631 rated colleges and universities

Job description

University of Iowa Health Care is recognized as one of the best hospitals in the United States and is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.

University of Iowa Health Care, Department of Health Information Management, Coding and Abstracting Division is seeking an individual to join our team as a full-time Outpatient Medical Coder (Coding Representative) - Remote Eligible to assign ICD-10 codes and CPT codes for hospital outpatient surgery services and hospital observation service areas.

Position Responsibilities:

  • Review medical record documentation to assign accurate and complete ICD-10-CM diagnosis and CPT procedure codes for hospital surgical and observation services, in accordance with ICD-10 Official Coding Guidelines, regulatory guidelines, and coding compliance policies.
  • Adopt and incorporate initiatives that improve compliance and reduce risks to the institution.

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered.  Training will be held either on-site or virtually from the Hospital Support Services building at a length determined by the supervisor.  Remote eligibility will be evaluated upon satisfactory training.  Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Key Areas of Responsibilities:

Patient Revenue Management - Review medical record documentation to assign correct diagnoses and CPT procedure codes.  Determine if billed data complies with documentation and regulatory requirements.

Operations and Performance Standards - Meet targets set by supervisor regarding productivity and accuracy. Identify trends and submit them to supervisor with opportunities for improvement. Identify potential process improvements including denial management. Contribute to new tools and processes that address underlying causes of incorrect payment.

Reporting - Prepare work list reports and other reports as directed.

Communication/Training - Communicate with providers, co-workers, supervisors and departments to resolve issues. May assist with or provide training to providers regarding documentation requirements. Participate in internal training.

Classification Title:  Coding Representative

Department:  Health Information Management

University Pay Grade:  2B https://hr.uiowa.edu/pay/pay-plans/professional-and-scientific-pay-structure-b

Annual Salary:  $45,000 to Commensurate

Percent of Time:  100%, 40 hours per week

Staff Type:  Professional & Scientific

Work Schedule:  Monday through Friday, hours between 6:00 am and 6:00 pm with or 1-hour unpaid lunch.  Additional hours as needed.

Location: Hospital Support Services Building (HSSB), 3281 Ridgeway Drive, Coralville, IA  52241

Benefits Highlights:

  • https://hr.uiowa.edu/benefits
  • Regular salaried position located in Coralville, Iowa
  • Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans.

For questions or additional information, please contact:  Marian Biggins at 319-678-7711 or marian-biggins@uiowa.edu

For application questions, please contact:  TA-Support@uiowa.edu

Required Education:

Completion of a degree program in Health Information Management from AHIMA or medical coding certification program from AAPC and/or an equivalent combination of education and experience is required.

Required Certification:

Requires Health Information Management certification such as RHIA or RHIT or coding certification (CCS, CCA or CPC, etc.) through a nationally recognized credentialing body (AHIMA or AAPC).  Must receive full certification within six months of hire.

Required Qualifications:

  • Knowledge of hospital outpatient ICD-10-CM and CPT medical coding
  • Knowledge of medical terminology
  • Knowledge of anatomy and physiology
  • Must be proficient in computer software applications (i.e., Microsoft Office)
  • Excellent written and verbal communication skills
  • Strong attention to detail with accuracy to achieve or exceed organizational and individual performance goals
  • Professional experience working effectively with individuals from a variety of backgrounds and perspectives

Desired Qualifications:

  • 1-3 years of experience with hospital outpatient ICD-10-CM and CPT medical coding
  • Knowledge, understanding and experience with CMS regulations and industry standards
  • Knowledge and experience utilizing Epic
  • Knowledge and experience utilizing 3M (or equivalent) MS DRG/APR DRG encoder/analyzer software

Position and Application Details:

In order to be considered for an interview, applicants must upload a resume and cover letter and mark them as a "Relevant File" to the submission. Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and education/credential verification. Up to 5 professional references will be requested at a later step in the recruitment process.

For questions or additional information, please contact Marian Biggins at 319-678-7711 or marian-biggins@uiowa.edu

Applicant Resource Center - Need help submitting an application or accepting an offer? Support is available.  The Applicant Resource Center is now open in the Fountain Lobby at the Main Hospital. Hours: Tuesdays & Thursdays 2:00pm - 4:00pm, Or by appointment. Contact TAHealthCareSupport@healthcare.uiowa.edu to schedule a time to visit.

Additional Information
  • Classification Title: Coding Representative
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
  • Work Modality Options: Remote within Iowa
Compensation
  • Pay Level: 2B
  • Starting Salary Minimum: 45,000.00
Contact Information
  • Organization: Healthcare
  • Contact Name: biggins, marian
  • Contact Email: marian-biggins@uiowa.edu

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