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 :
• Billing
• Documentations
• Communication
• Customer Follow-Ups
• Time Management
• Medicare Billing
• Medical Billing
• Microsoft Office
• Computer Literacy
• HIPAA Regulations

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

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.

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.