Patient Account Associate II Representative

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

Benefits offered by this job

Benefits package

Job summary

Intermountain Health is seeking a Remote Billing Specialist responsible for accurate payment posting, denial management, and payer communications. The role focuses on resolving complex billing issues with strong attention to detail and timely follow-up.

Qualifications include 1+ year of full cycle medical billing, CPT/ICD-10 knowledge, and proficiency in Excel and MS Office. A comprehensive benefits package and remote-friendly scheduling are offered.

Qualifications

• High School diploma or equivalent, required.
• Minimum of one (1) year of full cycle medical billing experience, required.
• Knowledge of CPT (procedures), ICD-10 (diagnoses), and modifiers, required.
• Ability to read and understand Explanation of Benefits (EOB's) or interpret denials, required.
• Experience with insurance claim appeals, required.
• Excellent computer skills (including Microsoft Office applications), required.
• Familiarity with electronic remittances, required.
• 2 years of denials experience.

Responsibilities

• Identifies appropriate payment details and saves back-up as appropriate.
• Researches, validates and makes adjustments to payment postings; follows procedures for account resolution.
• Interprets payer contracts to ensure all codes match contracts.
• Initiates payer recoupments, payer refunds, and patient refunds as applicable.
• Navigate payer claim portals and understand payer functionality.
• Communicate effectively in oral and written form.

Skills

Medical billing

EOB interpretation

Denials management

Insurance appeals

Excel

Microsoft Office

Education

High School diploma or equivalent

Tools

Microsoft Office

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

Qualifications

• High School diploma or equivalent, required
• Minimum of one (1) year of full cycle medical billing experience, required
• Knowledge of CPT (procedures), ICD-10 (diagnoses), and modifiers, required
• Ability to read and understand Explanation of Benefits (EOB's) or interpret denials, required
• Experience with insurance claim appeals, required
• Excellent computer skills (including Microsoft Office applications), required
• Familiarity with electronic remittances, required
• 2 years of denials experience

Physical Requirements

• Interact with others by effectively communicating, both orally and in writing
• Operate computers and other office equipment requiring the ability to move fingers and hands
• See and read computer monitors and documents
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment

May require lifting and transporting objects and office supplies, bending, kneeling and reaching

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

Work City

Broomfield

Work State

Colorado

Scheduled Weekly Hours

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$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) .

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

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.

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