Patient Account Credit Balance Tier I

Intermountain Healthcare Inc.; Augusta (ME); Remote; USD 27,000 - 35,000; Full time

Job summary

Intermountain Health seeks a detail-oriented Billing Specialist for Peaks Regional Office in Colorado. This full-time role handles payer postings, refunds, and follow-up with a focus on accuracy and timely resolution.

The ideal candidate has a high school diploma and 1 year in hospital revenue cycle, knowledge of Medicaid/Medicare rules, and strong communication. The position offers a generous benefits package and a 40-hour work week.

Qualifications

• High School Diploma or equivalent (GED) required.
• One (1) year of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up, Collections) required.
• Knowledge of Medicaid and Medicare billing regulations required.

Responsibilities

• 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.
• 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.
• Able 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.

Skills

Payment Handling

HIPAA Regulations

Communication

Coordination of Benefits

Understanding EOB

Medical Terminology

Researching Claims

Time Management

Computer Literacy

Payment Posting

Education

High School Diploma or GED

Tools

Payer portals

Job description

Peaks Regional Office

Full time

R184272

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.
• 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.

Skills

• Recognizing true overpayments from false credits
• Researching claim cycle
• Understanding Coordination of Benefits
• Understanding EOB
• Understanding Medical Terminology
• Payment Handling
• Effective written and verbal communication
• Computer Literacy
• Time Management
• HIPAA Regulations

Qualifications

• High School Diploma or equivalent (GED) required
• One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up, Collections) required
• Knowledge of Medicaid and Medicare billing regulations required

Physical Requirements

• Operate computers and other office equipment requiring the ability to move fingers and hands.
• 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.

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.

$19.29 - $25.61

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.

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.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

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!