Patient Account Associate Claims and EDI

Claims Processor

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

Qualifications

Preferred Qualifications

Physical Requirements

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