Fully Remote
Job Description:
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.
- Abel 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 credits
- Advanced knowledge of revenue cycle and health insurance payers
- Reading and Understanding Payer Contracts
- Advanced knowledge of Coordination of Benefits
- Advanced knowledge of reading EOB
- Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner
- Advanced knowledge of Medical Terminology
- Payment Handling
- Effective written and verbal communication
- Assist Leadership with mentoring peers as well as new hires.
- Computer Literacy
- Time Management
- HIPAA Regulations
Physical Requirements:
Qualifications
- High School Diploma or equivalent (GED) required
- One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required
- Knowledge of Medicaid and Medicare billing regulations required
- Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred
Physical 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.
$19.29 - $27.45
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.
