Revenue Cycle Specialist I

Intermountain Healthcare; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Intermountain Healthcare seeks a Billing Specialist to manage claims follow-up and account resolution. The role involves a thorough understanding of health insurance, timely documentation, and maintaining billing guidelines. Ideal candidates possess strong skills in customer service, communication, and relevant experience in hospital billing.

Benefits

Generous benefits package

Qualifications

• One (1) year of experience in hospital or physician insurance related activities.
• Knowledge of Medicaid and Medicare billing regulations.

Responsibilities

• Responsible for timely follow-up of claims and resolution of accounts.
• Oversee account receivables and maintain documentation.
• Contact insurance companies for account resolution.

Skills

Billing

Documentations

Communication

Customer Follow-Ups

Time Management

Medicare Billing

Medical Billing

Computer Literacy

Microsoft Office

HIPAA Regulations

Education

High School Diploma or equivalent (GED)

Job description

Job Description:

Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc. Review, document, and resolve all incoming correspondence and payor calls; assist as needed on aging reports, reports all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments, as needed.

Essential Functions

• Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
• Research and follow-up on outstanding claims. Appropriately document in the system all correspondence and action for the claim.
• Follow up in accordance with procedures and policies with an overall goal of account resolution.
• Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
• Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
• Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
• Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
• Responsible for meeting or exceeding productivity and quality goals.
  

Skills

• Billing
• Documentations
• Communication
• Customer Follow-Ups
• Time Management
• Medicare Billing
• Medical Billing
• Microsoft Office
• Computer Literacy
• HIPAA Regulations

Physical Requirements:

Qualifications

• High School Diploma or equivalent (GED)
• One (1) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
• Knowledge of Medicaid and Medicare billing regulations

Preferred Qualifications:

• Knowledge of Revenue and ICD coding language

• Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)

Physical Requirements

• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.

For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

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.

$19.15 - $26.65

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.

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 usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain 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.