Patient Account Associate Claims and EDI

Job Description :

Responsible for processing all claims, electronic and paper, within EPIC and outside the clearinghouse. Monitor unbilled claims, maintaining and updating medical coverage.

Essential Functions

Process all claims in a timely manner through resolution of patient account work queues to ensure medical coverage is accurately added to all appropriate accounts. Processes and correct registration information, coding, status level of care, coverage and coordination of benefits through appropriate processes in the system

Assists in monitoring unbilled outstanding claims. Works with Clearinghouse to resolve system or edit issues. Research errors identified by payers and works with other departments to correct information on claims.

Acts as Subject Matter Expert (SME) for team. Supports onboarding of team members and cross training efforts. Works with members of IT team to test new connections or troubleshoot issues. Supports supervisor in coordinating with clearinghouse vendors and payer EDI teams

Meets department's productivity and quality goals in high volume processing environment

Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards

Skills

Billing

Documentations

Communication

Customer Follow-Ups

Time Management

Medicare Billing

Medical Billing

Microsoft Office

Computer Literacy

HIPAA Regulations

Physical Requirements :

Qualifications

High School Diploma or equivalent (GED)

One (1) year of work experience in high volume processing position or medical billing office or Billing / Coding certification / training is required

Knowledge of Medicaid and Medicare billing regulations

Preferred Qualifications :

Knowledge of Revenue and ICD coding language

Billing & Coding Certified

Two (2) years of experience in medical processing and previous experience in EPIC medical billing software preferred.

Physical Requirements

Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.

Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

For roles requiring driving : Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location :

Peaks Regional Office

Work City : Broomfield

Work State : Colorado

Scheduled Weekly Hours :

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.81 - $23.22

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here () .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.