Iowa Digestive Disease Center · 20 hours ago
Infusion Authorization & Billing Specialist
Clive, Iowa, United States
Full-time
Onsite
Entry Level
1+ years expIowa Digestive Disease Center is seeking an Infusion Authorization & Billing Specialist to support infusion services by managing pre-authorizations, charge entry, and the complete revenue cycle. This role is critical in ensuring accurate billing, regulatory compliance, and a positive patient financial experience while collaborating with clinical operations.
Hospital & Health Care
Responsibilities
Enter, review, and maintain accurate charge data in accordance with current CPT, HCPCS, and payer-specific coding guidelines
Post payments, adjustments, and account notes accurately within billing and medical record systems
Generate and analyze departmental reports to support operational and financial performance
Collaborate with coding, billing, and clinical teams to resolve discrepancies and ensure clean claims
Identify and correct charge or posting errors in a timely and compliant manner
Obtain and track required pre-authorizations for biologic medication services
Verify insurance coverage and eligibility on a daily basis
Monitor patient schedules to ensure authorizations, documentation, and required testing are complete
Communicate authorization approvals, denials, and delays clearly within electronic medical records and billing systems
Initiate and manage authorization appeals in accordance with payer and regulatory requirements
Support scheduling coordination and proactively address authorization-related barriers to care
Ensure all activities comply with HIPAA, CMS regulations, payer policies, and organizational standards
Maintain strict confidentiality of patient and organizational information
Support audits, quality initiatives, and continuous process improvement efforts
Apply sound judgment and problem-solving skills to resolve issues and prevent recurrence
Provide professional, respectful, and patient-centered communication at all times
Handle sensitive or complex patient financial conversations with empathy and clarity
Promote teamwork, collaboration, and a positive work environment across departments
Qualification
Required
High school diploma required
Working knowledge of medical terminology, insurance processes, and revenue cycle workflows
Proficiency with electronic medical records (EMR), billing systems, and claims management software
Strong computer skills, including Excel and other Microsoft Office applications
Accurate typing and data entry skills, including ten-key
Strong written and verbal communication skills
Ability to work independently, prioritize tasks, and meet deadlines
High attention to detail and accuracy
Effective problem-solving and critical-thinking abilities
Ability to adapt in a fast-paced, regulated healthcare environment
Demonstrated commitment to compliance, accountability, and ethical standards
Frequent sitting and computer use
Occasional standing, lifting, carrying, pushing, or pulling up to 25 lbs; infrequent lifting up to 50–75 lbs
Occasional stooping, crouching, kneeling, and reaching
Category III exposure to bloodborne pathogens
Minimal exposure to chemical hazards
Professional, tactful, and patient-focused demeanor
Organized, flexible, and able to function effectively under pressure
Receptive to feedback and committed to continuous improvement
Demonstrates initiative and ownership of responsibilities
Respects and supports diversity, equity, and inclusion
Actively supports the mission, values, and philosophy of the organization
Preferred
Coding Certification and/or Certified Medical Assistant (CMA)
Minimum of one year of healthcare or medical office experience
Company
Iowa Digestive Disease Center
Iowa Digestive Disease Center (IDDC), based in Clive, Iowa, has been a trusted leader in gastroenterology care since 1972.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase