Medical Billing Specialist

Location: Ankeny, IA 50021 (100% Onsite)
Pay Rate: $23.00 - $28.00 per hour (DOE)
Schedule: Monday - Friday, 8:00 AM - 4:30 PM
Contract Length: 12-Week Contract with Potential for Extension or Hire
Overtime Available

We are seeking motivated, adaptable, and detail-oriented Medical Billing Specialists to join our team for an immediate project supporting a large-scale billing backlog resulting from a recent organization-wide system migration.

This role is ideal for healthcare billing professionals who thrive in fast-paced environments, enjoy problem-solving, and are comfortable working with multiple systems, portals, and Excel-based workflows. Unlike traditional hospital or clinic billing positions, this role focuses heavily on government-funded programs, manual invoicing, portal billing, payment posting, and rejection resolution.

If you're tech-savvy, eager to learn, and ready to make an immediate impact, we'd love to speak with you.

• Review, research, and resolve high volumes of billing rejections within clearinghouse systems.
• Process and work through aging accounts receivable balances.
• Research billing discrepancies and submit appeals as needed.
• Post payments, balances, and adjustments into proprietary billing systems and Excel tracking tools.
• Process manual invoices through state and government billing portals.
• Submit and manage CMS-1500 professional claims and occasional UB-04 claims.
• Maintain detailed documentation and tracking of billing activities.
• Prioritize and resolve high-impact accounts to reduce organizational backlog efficiently.
• Utilize Excel daily, including VLOOKUP functions and data management tools.
• Learn and navigate multiple proprietary systems and billing platforms.

• Minimum of 1 year of healthcare billing experience.
• Experience with CMS-1500 or UB04 Billing
• Strong knowledge of Medicare, Medicaid, Waiver Programs, and other government-funded healthcare programs.
• Advanced Microsoft Excel skills, including VLOOKUP functionality.
• Ability to quickly adapt to new systems, processes, and changing priorities.
• Strong attention to detail and problem-solving abilities.
• Reliable attendance and commitment to maintaining a consistent work schedule.
• High School Diploma or GED required.

• AAHAM or HFMA certification.
• Experience with manual invoice billing and portal-based billing environments.
• Previous experience working with government-funded healthcare programs.
• Experience in high-volume accounts receivable, payment posting, or denial management environments.

• 100% onsite position in Ankeny, IA.
• All equipment provided.
• Business casual dress code.
• Closed-toe shoes are required.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.