Fully Remote
Job Description:
This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures.
Scope
1.Identifies appropriate payment detail and saves back-up as appropriate. Balancespayments to deposits in systems and applications.
2. Resolves escalated requests from A/R and posting teams as well as TPBs for missing or inaccurate remittance advice.
3. Researches and follows-up on missing information, such as EOB and insurance remittances. Contacts payers as necessary to obtain detailed info in regard to payments.
4. Identifies errors from payers and performs root cause analysis.
5. Coordinates with payers and/or clearinghouse to resolve payment errors.
6. Evaluates payment types, patient vs non patient, obtains back up and assigns work accordingly.
7. Identifies payment type and error type and coordinates/partners accordingly for resolution with clearinghouse, payer directly or EDI team.
8. Identifies missing expected weekly/monthly payments and performs appropriate follow up i.e: collection agencies, capitation, bonuses, etc.
9. Performs check matching activities when system automation cannot.
10. Supports training and mentoring of new team members.
11. Meets department's productivity and quality goals.
12. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
13. Performs other duties as assigned.
Minimum Qualifications
Required
High School Diploma or Equivalent is required
Two (2) years revenue cycle experience OR Three (3) year previous cash handling experience is required
Preferred
- Vocational training/education in insurance billing and collections is preferred
To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. General computer skills. Typing, 10-key, and MS Office products including Word and Excel Required
2. In depth knowledge of clearing houses and payer processes.
3. Ability to read and interpret 835s and Explanation of Benefits (EOBs).
4. Must be able to communicate effectively with face-to-face interaction, outbound calls, and/or electronic messaging.
5. Working knowledge of converting files from text to pdf.
6. Knowledge of general medical billing, insurance, and compliance regulations and coding.
7. Medical terminology.
8. Working knowledge of Commercial and Government payer portals
Physical Requirements:
Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.Location:
Peaks Regional OfficeWork City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$21.20 - $32.26
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.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
