Medical Billing Specialist at WesleyLife in Johnston, IA

Job description

• Description

Responsibilities

• A Typical Day for a Medical Billing Specialist at our Network Support Center:
• Manage Third Party billing across all WesleyLife branches, ensuring accurate and timely submission of claims.
• Stay updated on Medicare/Skilled billing regulations and implement necessary process changes for compliance.
• Understand Medicare and Commercial Insurance for co-insurance calculations, cash posting, and collections.
• Handle delinquent accounts and resolve credit balances.
• Maintain confidentiality of client and organizational information.
• Collaborate with various stakeholders including providers, finance staff, auditors, and state agencies.
• Update HCPC and RUG rates, PDPM and maintain billing software tables.
• Coordinate with Office Managers, Therapy Providers, and Directors of Nursing to ensure accurate billing and streamline operations.
• Communicate effectively with clients, responsible parties, and therapy providers regarding charges and financial information.
• Perform other duties as assigned, participate in projects, and collaborate with team members effectively.

Requirements

• 4-5 years of healthcare billing experience.
• Ability to manage multiple functions and schedules under pressure with changing priorities.
• Strong organizational skills and ability to meet billing deadlines.
• Excellent communication skills, both verbal and written, with clients, vendors, and team members.
• Professionalism in work ethic, attitude, and etiquette.
• Collaboration with internal and external resources while maintaining confidentiality.
• Attention to detail and the ability to work well in a team-oriented environment.
• Able to demonstrate strong problem-solving abilities, adept at resolving challenges independently and collaboratively.
• Experience
• Required
• Medical Billing

Skills

Required

• Communication
• Organizational
• Professionalism
• Collaboration
• Attention to detail
• Problem-solving
• Medical Billing
• Medicare/Skilled billing regulations
• Medicare and Commercial Insurance
• HCPC and RUG rates
• PDPM
• Billing software

Benefits

• We know a great career is about more than just a paycheck — it's about belonging, growth, and making a difference. At WesleyLife, we provide:
• Comprehensive Benefits Package: Including health care, vision, dental, and 401(k).
• Discounted wellness center memberships and cash incentives for healthy habits
• Voluntary benefits including life, accident, and critical illness coverage
• Scholarship Assistance: Up to $3,000/year
• Tuition Reimbursement: Up to $1,500/year
• Educational Discounts: 18% off tuition at Purdue University Global
• Ongoing leadership training and development pathways
• Referral Bonus Program — bring your friends and earn rewards
• Recognition and appreciation programs that highlight your impact
• A workplace culture that prioritizes respect, teamwork, and support