Biller, Hospital PFS, Full-Time

Yourcommunityhospital; Grand Junction (CO); On-site; USD 26,174 - 30,100; Full time

Benefits offered by this job

Life Insurance

Free Parking

Paid time off

Education assistance

403(b) with employer matching

Wellness Program

Job summary

Yourcommunityhospital in Grand Junction, CO is seeking a Billing Specialist to manage accounts, resolve billing issues, and communicate with patients and payers. The ideal candidate will have a high school diploma and some relevant experience.

The position offers a pay range of $19.00 to $21.85 per hour based on education and experience, along with benefits such as life insurance, paid time off, and education assistance.

Qualifications

• Experience in billing and account management preferred.
• Strong attention to detail and communication skills required.
• Ability to handle sensitive information confidentially.

Responsibilities

• Follow up on assigned accounts in the billing systems.
• Respond to inquiries from payers and patients.
• Submit claims and prepare refund requests.

Skills

Account resolution

Research and analysis

Customer service

Education

High school diploma or equivalent

Job description

Grand Valley Billing/Business Office
703 23 2/10 Road
Grand Junction, CO 81505, USA

Follows up on all assigned accounts within the billing systems in accordance with pre-established goals.

• Initiates proactive measures that result in account resolution.
• Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
• Ensures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility.
• Writes appropriate notes in the system for every account, including any action taken.
• Meets daily and weekly productivity standards.

Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties.

• Initiates contact with patient, as necessary.
• Initiates recommendations and action plans for resolving accounts.
• Evaluates accounts to determine any write-offs or corrections required, including duplicate charges.
• Handles in a professional and confidential manner all correspondence, documentation, and files.
• Attempts to locate patient/guarantor through direct contact, letter, or other means.
• Receives and answers inquiries or complaints concerning self-pay accounts; gathers information for timely resolution of issues.
• Speaks with patient/guarantor to find third-party sponsorship, settlement, or to begin charity process.
• Prepares correspondence to patient/guarantor, as necessary.
• Establishes payment arrangements according to preset guidelines.
• Elevates issues, as appropriate, to the supervisor.

Submits claims and/or statements for payments.

Prepares refund requests for any monies due to patient or insurance company.

Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal. Prepares write-offs requests for denied claims which cannot be appealed. Investigates the possibility of Medicaid linkage.

Qualifications

• High school diploma or equivalent.
• One to three years related experience and/or training preferred.

Compensation

• $19.00 – $21.85 per hour, depending on education and experience.
• Discretionary bonuses, relocation expenses, merit increase, market adjustments, recognition bonuses, and other forms of discretionary compensation may be available.
• Life Insurance
• Free Parking
• Paid time off
• Education assistance
• 403(b) with employer matching
• Wellness Program
• Additional benefits based on employment status

Additional Information

• Relocation: Must relocate to Grand Junction, CO 81505 before starting work.
• Work Location: In-person/onsite
• Application Deadline: Posting will remain open until July 31,2026

Be Extraordinary. Join Us Today!

Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. Community Hospital does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.