Patient Account Assoc II Credit Balance and Acct Review

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.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

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 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

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.

$19.41 - $28.14

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.