Pharmacy Reimbursement Specialist — Onsite Billing Pro

UC Health; Fort Collins (CO); On-site; USD 38,000 - 57,000; Full time

Job summary

UCHealth UCHlth Poudre Valley Hospital in Fort Collins, CO seeks a full-time Billing Specialist to maximize pharmacy reimbursement and manage accounts receivable. This on-site role focuses on reviewing hospital accounts, coding accuracy, and resolving billing issues with payors.

You will analyze third-party requirements, perform AR reporting, and advocate for patients and physicians to ensure insurance authorization and benefits for drug therapies.

Qualifications

• High School diploma or GED.
• Experience in hospital billing.
• Knowledge of CMS, Vitalware, Crosswalks, and EPIC coding systems.

Responsibilities

• Review hospital accounts for billing accuracy and coding.
• Resolve hospital billing rejections and issues with payors.
• Monitor accounts receivable with regular reporting and analysis.
• Collaborate with staff to improve billing and reimbursement processes.
• Advocate for patients/physicians to secure insurance benefits for drug therapies.
• Ensure accurate patient, coding, and billing data in applications.
• Work independently in a fast-paced environment.

Skills

Billing knowledge

Accounts receivable

Analytical skills

Education

High School diploma or GED

Tools

EPIC

CMS

Vitalware

Crosswalks

Job description

UCHealth UCHlth Poudre Valley Hospital in Fort Collins, CO seeks a full-time Billing Specialist to maximize pharmacy reimbursement and manage accounts receivable. This on-site role focuses on reviewing hospital accounts, coding accuracy, and resolving billing issues with payors.

You will analyze third-party requirements, perform AR reporting, and advocate for patients and physicians to ensure insurance authorization and benefits for drug therapies.