Patient Account Associate II Representative

Intermountain Healthcare Inc.; Hagåtña (GU); Remote; USD 26,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a detail-oriented specialist to support payment postings and resolve account discrepancies. The role requires strong knowledge of the revenue cycle and payer practices, with ability to read and apply payer contracts accurately.

The position supports fully remote work options where approved, with potential onsite interviews as described in the posting. Accurate communication and problem solving are essential.

Qualifications

• Experience with health insurance payers and payer processes.
• Ability to interpret payer contracts and ensure code accuracy.
• Capability to analyze payment trends and identify discrepancies.

Responsibilities

• Identify payment details and save backup as appropriate.
• Research, validate and adjust payment postings to resolve accounts.
• Interpret payer contracts to ensure codes match agreements.
• Initiate payer recoupments, refunds, and patient refunds when applicable.
• Navigate payer claim portals and communicate effectively in writing and speech.
• Train new and existing associates.

Skills

Overpayments recognition

Revenue cycle knowledge

Payer contracts understanding

Coordination of Benefits

Reading EOB

Trend analysis

Medical terminology

Job description

Fully Remote

Peaks Regional Office

Full time

R183939

Job Description

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate 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. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. ”

Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.

Essential Functions

• Identifies appropriate payment details and saves back-up as appropriate.
• Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution.
• Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts.
• Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution.
• Abel to navigate various payer claim portals and understand payer functionality.
• Interacting with others by effectively communicating both orally and in writing.
• Operate computers and other office equipment, as well as various computer software’s.
• See and read computer monitors and documents in English.
• Train new and existing associates.

Skills

• Recognizing true overpayments from false credits
• Advanced knowledge of revenue cycle and health insurance payers
• Reading and Understanding Payer Contracts
• Advanced knowledge of Coordination of Benefits
• Advanced knowledge of reading EOB
• Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner
• Advanced knowledge of Medical Terminology

Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Location

Peaks Regional Office

Broomfield

Colorado

40

$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.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team!