Job Title
Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner.
Essential Functions
- Identifies appropriate payment details and saves back-up as appropriate.
- Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution.
- Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts.
- Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution.
- Able to navigate various payer claim portals and understand payer functionality.
- Interacting with others by effectively communicating both orally and in writing.
- Operate computers and other office equipment, as well as various computer software's.
- See and read computer monitors and documents in English.
- Train new and existing associates.
Skills
Recognizing true overpayments from false creditsAdvanced knowledge of revenue cycle and health insurance payersReading and Understanding Payer ContractsAdvanced knowledge of Coordination of BenefitsAdvanced knowledge of reading EOBAccurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely mannerAdvanced knowledge of Medical TerminologyPayment HandlingEffective written and verbal communicationAssist Leadership with mentoring peers as well as new hires.Computer LiteracyTime ManagementHIPAA RegulationsQualifications
High School Diploma or equivalent (GED) requiredOne (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) requiredKnowledge of Medicaid and Medicare billing regulations requiredTwo (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferredPhysical Requirements
Operate computers and other office equipment requiring the ability to move fingers and hands.Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.May require lifting and transporting objects and office supplies, bending, kneeling and reaching.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 - $27.45
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.