Vacancy expired!
We are recruiting for a Specialist, Revenue Cycle to join our team!We are here for life's journey.
Where is your life journey taking you?Being the heartbeat of Denver means our heart reflects something bigger than
ourselves, something that connects us all:Humanity in action, Triumph in hardship, Transformation in health.DepartmentBilling and CollectionsJob SummaryUnder general supervision, the Specialist ensures optimal reimbursement for
hospital or provider billing on inpatient and outpatient accounts. Provides
customer service, billing, timely follow-up, cash application
processes, reconciling payer remittance, denial management and appeal
functions for claims to government or grant funded programs, worker's
compensation, commercial insurance. Provides financial guidance on self-pay
accounts. Interprets explanation of benefits. Investigates delinquent accounts
for legal liability. Acts as liaison support between the Hospital and
Physician Business Services departments and third-party payers and other
Denver Health departments. Utilizes various software applications and
information systems to perform work processes.Essential Functions:Completes claims submissions, performs review of accounts, ensure that
work performed is accurate and complete. Consistently documents contact with
debtor/insurance and/or any other content to the account using appropriate
methods. Reviews account information and makes necessary changes.
Researches, corrects, and resubmits claims within the mandated time frames
to avoid loss of revenue. Initiates collections by contacting third party
payer/debtor or designated representative. (40%)
Returns assignments within the appropriate timeframe and with suggestions for
resolution or process improvement. Completes worklists as assigned. Work
product is consistently of high quality. Staff QA'd weekly and must be at
97% or higher. (20%)
Uses billing systems efficiently and appropriately. Follows and understands
actions needed to correctly effect patient accounts with the Siemens Invision
system. Utilizes the imaging system to perform needed account research; able
to scan, import and export if needed. Uses eligibility software to ensure
the correct payer is billed. (15%)
Processes accounts transactions accurately that involve transfer of charges,
combining accounts, or manual adjustments. (10%)
Processes and responds to incoming correspondence from insurance carriers,
patients, and other Denver Health departments to move the accounts toward
resolution. (10%)
Identifies and communications existing or potential problems to supervisor in
a timely manner. Offers constructive actions in problem resolution. (5%)Education:High School Diploma or GED RequiredWork Experience:No previous experience required.Licenses:Knowledge, Skills and Abilities:Knowledge and understanding of insurance benefit plans and explanation of
benefits.
Have current knowledge of regulatory requirements and codes.
Skill sets to include 10-key by touch, typing a minimum of 25 words per
minute (WPM) and, basic skills in word processing and spreadsheet
applications.
Ability to prioritize work activities with minimal supervision, in an
individual and team setting.
Strong written and verbal communication skills, analytical thinking, high
level of computer accuracy, and organization and problem solving skills.
Ability to utilize various software applications and information systems to
perform work processes.
Ability to adapt easily to change.ShiftWork TypeRegularSalary$19.23 - $25.96 / hrBenefitsCompetitive payOutstanding benefitsEducation opportunitiesShared leadership and advancement For full info follow application link."Denver Health is committed to provide equal treatment and equal employment
opportunities to all applicants
and employees. Denver Health is an Equal Opportunity Employer and does not
di criminate against any employee or
applicant for employment because of race, color, sex, age, national
origin, religion, sexual orientation, gender identity,
Full-time