Financial Representative/Medical Biller

Colorado ENT and Allergy; Colorado Springs (CO); On-site; USD 26,000 - 39,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Paid time off

Vision Insurance

Company Paid Life Insurance

Company Paid Long Term Disability

Flexible Spending Account

Employee Assistance Program

401(k)

Job summary

Colorado ENT & Allergy is seeking a Financial Representative to manage accounts receivable and optimize collections for patients and insurers. The role focuses on accuracy in billing, timely follow-up, and communication with physicians regarding outstanding balances.

Responsibilities include handling incoming/outgoing mail, appealing underpayments, and ensuring compliance with OSHA, HIPAA, and related regulations, while delivering professional service and accountability during staff meetings and

Qualifications

• Associate's degree or equivalent required; 6 months to 1 year related experience may be acceptable.
• Ability to read and comprehend simple instructions, short correspondence, and memos; write simple correspondence.
• Ability to add, subtract, multiply, and divide in all units of measure; compute rate, ratio, and percent; interpret bar graphs.

Responsibilities

• Manage accounts receivable to meet goals set by Administrators and Board.
• Follow up and appeal patient and insurance payments as necessary to optimize collections.
• Maintain aging of accounts per policy; communicate with physicians about collection status.
• Develop payment plans for patients as needed; provide timely responses to inquiries.
• Attend seminars and stay compliant with HIPAA, OSHA and other regulations.

Skills

Analytical

Communication

Customer service

Problem solving

Time management

Education

Associate's degree or equivalent

Tools

All Meds/Centricity

Epic

Database software

Internet software

Word Processing software

Job description

Our physicians and staff at Colorado ENT & Allergy are widely regarded as the best in the fields of ENT, Allergy, Asthma, Immunology, and Audiology. We have been taking care of patients in Southern Colorado since 1995. Credentialed with all three hospital systems in the greater Colorado Springs region. Colorado ENT & Allergy is your leader in the latest technology and clinical research. Colorado ENT & Allergy is known throughout Colorado as trusted experts who deliver highly skilled compassionate care.

Job Summary

The Financial Representative will be primarily responsible for managing accounts receivable to maintain the goals set by Administrator and Board of Directors, follow-up and appeal patient and insurance payments as necessary to optimize collections, promote favorable public relations with health plans and patients by performing the following duties personally or through subordinates. This role will be accountable for maintaining aging of accounts at levels set by administrator.

Primary Responsibilities

• Core duties and responsibilities include the following. Other duties may be assigned.
• Works aging reports and collect monies outstanding.
• Corrects patient and insurance information as required to collect money.
• Assists with incoming and outgoing mail.
• Keeps physicians informed regarding collection status.
• Returns all phone calls within 24 business hours.
• Appeals all payments that are below contract allowable.
• Develops payment plans for patients as necessary.
• In-Services other departments of changes in insurance requirements.
• Attends seminars presented by insurance companies as requested by supervisor.
• Complies with all regulatory requirements such as OSHA, HIPAA, Compliance and other requirements that may be mandated.
• Attends staff meetings.
• Adheres to the established work schedule and arrives at work no later than 5 minutes prior to scheduled start time.
• Projects a positive image of the company always.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

• Analytical - Collects and researches data; Uses intuition and experience to complement data.
• Design - Generates creative solutions; Demonstrates attention to detail.
• Problem Solving - Identifies and resolves problems in a timely manner; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Project Management - Communicates changes and progress.
• Technical Skills - Assesses own strengths and weaknesses, Shares expertise with others.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
• Visionary Leadership - Displays passion and optimism; Inspires respect and trust.
• Change Management - Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Monitors transition and evaluates results.
• Leadership - Exhibits confidence in self and others; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others.
• Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
• Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Aligns work with strategic goals.
• Cost Consciousness - Works within approved budget; Develops and implements cost saving measures; Contributes to profits and revenue; Conserves organizational resources.
• Diversity - Shows respect and sensitivity for cultural differences.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
• Strategic Thinking - Develops strategies to achieve organizational goals; Adapts strategy to changing conditions.
• Judgment - Displays willingness to make decisions; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process.
• Motivation - Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
• Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.
• Adaptability - Adapts to changes in the work environment; Able to deal with frequent change, delays, or unexpected events.
• Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary, to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Initiative - Volunteers readily; Undertakes self-development activities; Asks for and offers help when needed.
• Innovation - Generates suggestions for improving work; Develops innovative approaches and ideas.

Requirements

• Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
• Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
• To perform this job successfully, an individual should have knowledge of Database software; Internet software; Word Processing software and All Meds/Centricity and Epic

Work Environment

• This position will be performed on site in a medical office setting.

Benefits

• Health Insurance
• Dental Insurance
• Paid time off
• Vision Insurance
• Company Paid Life Insurance
• Company Paid Long Term Disability
• Flexible Spending Account
• Employee Assistance Program
• 401(k)

Pay Range: $19 - $28 an hour

Location: Business office- 1125 Kelly Johnson Blvd. Ste. 200, Colorado Springs, 80920

Colorado ENT & Allergy is an Equal Opportunity Employer