Healthcare Account Spec

UCHealth; Fort Collins (CO); On-site; USD 58,026,000 - 75,475,000; Full time

Job summary

UCHealth in Fort Collins, Colorado is hiring a Healthcare Account Specialist to support professional billing operations onsite. You will work with Epic Professional Billing and other revenue cycle systems to follow up on claims, manage denials, verify eligibility, and coordinate with internal teams to ensure accurate reimbursements.

Responsibilities include researching claim edits, correcting billing errors, and maintaining thorough documentation while meeting productivity and quality standards.

Qualifications

• Revenue cycle operations are central to the role.
• Proven understanding of professional billing workflows and payer guidelines.
• HIPAA and patient confidentiality understanding.

Responsibilities

• Research and resolve claim edits, rejections, denials, and suspended accounts.
• Correct billing errors and submit claims per payer requirements.
• Perform claim follow-up to ensure timely reimbursement.
• Review payer correspondence and act on findings.
• Escalate complex account issues when needed.
• Investigate denials and identify corrective actions.
• Maintain knowledge of payer policies and reimbursement guidelines.
• Manage Epic work queues and account inventories.
• Document activity thoroughly and maintain productivity.

Skills

Revenue cycle

Billing workflows

Problem solving

Attention to detail

Communication

Data interpretation

Education

High school diploma or equivalent

Tools

Epic Professional Billing

Microsoft Excel

Microsoft Outlook

Microsoft Teams

Payer website navigation

Job description

Description

Location: UCHealth UCHlth Harmony Campus 2315, US:CO:Fort Collins

Department: UCHlth Professional Billing

Work Schedule: Full Time, 80.00 hours per pay period (2 weeks)

Shift: Days

Pay: $20.26 - $26.34 / hour. Pay is dependent on applicant's relevant experience

This position is an onsite role and does not offer a hybrid or remote option

Summary

The Healthcare Account Specialist is responsible for the timely and accurate resolution of professional billing accounts through claim follow-up, denial management, account research, payment review, and coordination with internal and external stakeholders. This role works within Epic and other revenue cycle systems to help ensure accurate reimbursement, resolve claim and account issues, maintain compliance, and support organizational financial performance goals.

The Healthcare Account Specialist serves as a resource for assigned work queues and payer-specific processes while collaborating with coding, credentialing, contracting, clinical departments, customer service, and other revenue cycle teams to resolve complex billing issues.

Essential Functions

Claims and Account Resolution

• Research and resolve claim edits, rejections, denials, and suspended accounts. Analyze account activity to identify root causes of reimbursement delays.
• Correct billing errors and submit claims according to payer requirements.
• Perform claim follow-up activities to support accurate and timely reimbursement
• Review payer correspondence and take appropriate action based on findings
• Escalate complex account issues when appropriate
• Denial Management
• Investigate clinical, technical, and payer-related denials.
• Identify trends contributing to denied claims and recommend corrective actions.
• Maintain working knowledge of payer policies and reimbursement guidelines.

Coverage and Eligibility Resolution

• Research and update insurance coverage information.
• Validate eligibility, coordination of benefits, and payer responsibility.
• Resolve registration, coverage, and demographic discrepancies affecting reimbursement.

Payment and Adjustment Processing

• Review payment activity for accuracy and completeness.
• Initiate appropriate account corrections or escalation pathways.

Epic and Work Queue Management

• Manage assigned Epic work queues and account inventories.
• Prioritize workload based on departmental priorities and productivity standards.
• Document account activity thoroughly and accurately.
• Maintain quality standards while achieving productivity expectations.

Collaboration and Communication

• Partner with coding, credentialing, follow up and denials management teams to resolve account issues.
• Communicate professionally with internal and external stakeholders.
• Participate in department meetings, training activities, and process improvement initiatives.

Continuous Improvement

• Identify workflow opportunities that improve efficiency and quality.
• Assist with testing, implementation, and adoption of new processes and system enhancements.
• Share knowledge and support peer training efforts.
• Contribute to departmental goals and revenue cycle initiatives.

Required Knowledge, Skills, And Abilities

Knowledge

• Revenue cycle operations
• Professional billing workflows
• Medical terminology
• Insurance reimbursement methodologies
• Medicare, Medicaid, and commercial payer guidelines
• HIPAA and patient confidentiality requirements

Skills

• Critical thinking and problem solving
• Research and analytical skills
• Time management and prioritization
• Attention to detail
• Written and verbal communication
• Data interpretation and trend identification

Technical Skills

• Epic Professional Billing
• Microsoft Outlook
• Microsoft Teams
• Microsoft Excel
• Revenue cycle reporting tools
• Payer website navigation

Minimum Qualifications

• High school diploma or equivalent.

Preferred Qualifications

• Epic Professional Billing experience.
• Professional billing follow-up or denial management experience.
• Knowledge of Medicare, Medicaid, and commercial payer reimbursement policies
• Revenue cycle, healthcare billing or insurance experience.
• Experience working with electronic medical record and billing systems.

Performance Expectations

• The Healthcare Account Specialist is expected to:
• Meet established productivity standards.
• Meet quality and accuracy expectations.
• Maintain assigned inventory within established aging standards.
• Demonstrate accountability for assigned work queues.
• Adhere to departmental policies and procedures.
• Support a positive and collaborative work environment.
• Participate in ongoing training and professional development.

Working Relationships

This Position Routinely Collaborates With

Revenue Cycle Leadership

• Coding Team
• Credentialing Team
• Follow up Team
• Denials Management Team
• Information Technology
• External Insurance Payers

Success Measures

• Timely account resolution
• Reduction in denial volume and aging
• Achievement of productivity goals
• Achievement of quality targets
• Accurate documentation
• Effective payer issue resolution
• Positive collaboration across departments
• Contribution to process improvement initiatives

Employees are our number one asset.

UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program.

Recognition

• Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
• Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
• Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.

Health and well-being

• Medical, dental and vision coverage.
• Access to 24/7 mental health and well-being support for employees and dependents.
• Discounted gym memberships and fitness resources.
• Free Care.com membership.
• Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
• Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
• Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
• Employer-provided short-term disability and long-term disability with a buy-up coverage option.

Retirement and savings

• 403(b) plan with employer matching contribution.
• Additional 457(b) plan may be available.
• Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.

Education and career growth

• UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
• Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
• Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
• Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
• Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
• Eligibility for some programs is based on an employee's scheduled work hours.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth 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, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.

Who We Are (uchealth.org)