Revenue Cycle Specialist II

Health Solutions West; Grand Junction (CO); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical

Dental

Vision

403(b) with 6% company match

Paid time off

Job summary

Health Solutions West in Grand Junction, CO is hiring a Revenue Cycle Specialist II for benefits verification, EOB explanations, collections, denial resolution, and posting to minimize aged receivables. This hybrid role requires collaboration with internal teams and external providers.

The position leads coverage plan setups, 270/271 processing, and offers technical support to staff, focusing on commercial, Medicare and Medicaid billing across multiple sites.

Qualifications

• Knowledge of basic accounting principles and posting systems.
• Understanding CPT/HCPCS/ICD-10/DSM terminology at a basic level.
• Ability to organize workload and work in a sometimes hectic environment.

Responsibilities

• Verify benefits, explain benefits, and collect payments.
• Resolve denials and post accounts to minimize aged receivables.
• Administer coverage plan setups and 270/271 processes.
• Provide technical assistance to staff; lead commercial, Medicare and Medicaid billing.

Skills

Problem solving

Accounting basics

Communication skills

Time management

Education

Associate degree in accounting or business-related field

High School Diploma with four years' experience

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Health Solutions West is the Western slope’s largest behavioral health care organization, covering more than 23,000 square miles across 10 counties. With over 250 employees in Western Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.Position: Revenue Cycle Specialist IIRemote Work: This position follows a hybrid schedule, with two days remote and three days onsite in the office each week.Location: Grand Junction, COBenefits offered to Full-Time Employees:MedicalDentalVisionPaid time off accrual and generous leave policy403(b) benefits with 6% company matchPosition Qualifications:Associate’s degree in accounting or business-related field preferred; or High School Diploma with four (4) years’ experience required, preferably in health care accounts receivable setting.Job purpose:This position is responsible for benefits verification, explanation of benefits, collection, denial resolution and posting accounts to minimize aged receivables. This position also administers coverage plan setups, write offs, 270/271 process, and provides technical assistance to staff. This is a lead position for all commercial, Medicare and Medicaid billing.Knowledge, Skill & Ability (include materials and equipment directly used):Must have ability to identify problems and provide suggestions for problem resolution in order to improve processes and/or work flow.Must have good understanding of basic accounting principles.Basic knowledge of CPT, HCPCS, ICD-10, DSM, with basic charge and payment posting systems.Working knowledge of Windows based computer applications to include Microsoft Word, Microsoft Excel, Microsoft Outlook, and Internet access.Ability to operate standard office equipment including computer keyboard, calculator, copy machine, fax and multi-line telephone.Interpersonal and communication skills to develop and maintain effective working relationships with all internal and external customers.Ability to organize and prioritize workload in a sometimes hectic environment with frequent interruptions.Working Conditions/Physical Demands:Employee must occasionally lift and/or move up to 25 pounds. Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Must have ability to sit for longer periods of time at a computer. Employee must be able to travel between Health Solutions West sites. May be exposed to stressful situations that involve enraged, distraught and/or intoxicated individuals with possible mental health conditions. Possible exposure to communicable disease. The noise level in the work environment is usually moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Must already be authorized to work in the US; sponsorships not available.