Billing and Claims Specialist

Billing And Claims Specialist

The Billing and Claims Specialist will be able to recognize delays in the billing process. The Billing and Claims Specialist will perform various functions that will enable Intermountain Health to submit its claims to the payers in a timely and correct 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, Virginia, Vermont, Washington.

Essential Functions

• Ensure correct medical coverage is applied to the account based on the date of service.
• Resolve issues preventing the billing of the claim such as; stop bills, DNB's, coverage changes, overlapping accounts
• Understand payer specific requirements as well as state and federal requirements for claims.
• Be responsible for the undo billing and NRP functions and activities
• Monitor assigned work queues and accounts with outstanding balances or unbilled claims.
• Identify and report trends and propose solutions,
• Promote the mission, vision, and values of Intermountain Health
• Responsible for meeting or exceeding productivity and quality goals.

Skills

• Effective Communication
• Accountability
• Continuous Improvement
• Customer Service
• Taking Initiative
• Teamwork
• Work Collaboratively
• Billing
• Time Management
• Computer Literacy

Qualifications

• High School Diploma or equivalent
• Minimum 1 year in a healthcare billing environment
• Preferred – Experience with Epic Systems and Hospital Claims Billing

Physical Requirements

• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

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.