Patient Account Assoc II Credit Balance and Acct Review

Provides extraordinary care to our customers through friendly, courteous, and professional service with a broad understanding of account handling processes, strong interpersonal skills, and the ability to resolve complex issues accurately and promptly.

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 to achieve account resolution.
• Utilizes resources to find payment documentation and interprets payer contracts to ensure all codes on patient accounts match contracts.
• Initiates payer recoupments, payer refunds, and patient refunds where applicable.
• Able to navigate various payer claim portals and understand payer functionality.
• Interacts with others through effective oral and written communication.
• Operates computers and other office equipment, as well as various computer software.
• Reads computer monitors and documents in English.
• Trains 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 (Explanation of Benefits).
• Accurately identifying trends, including payer behavior, system or workflow issues, and escalating in a timely manner.
• Advanced knowledge of medical terminology.
• Effective payment handling.
• Strong written and verbal communication.
• Assists leadership with mentoring peers and new hires.
• Computer literacy.
• Time management.
• Understanding of HIPAA regulations.

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) required.
• Knowledge of Medicaid and Medicare billing regulations required.
• Two (2) years of experience in hospital or physician insurance-related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred.

Physical Requirements

• Operate computers and other office equipment requiring the ability to move fingers and hands.
• Remain sitting or standing for long periods 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, Broomfield, Colorado. Scheduled weekly hours: 40.

Pay

The hourly range for this position is $19.41 - $28.14, dependent upon experience.

Benefits

We provide a generous benefits package covering a wide range of programs to foster a sustainable culture of wellness that encompasses mental, physical, and emotional well-being.