Revenue Cycle Specialist - Must Reside in Colorado

Job Summary

We are recruiting for a mission-driven Revenue Cycle Specialist - Must Reside in Colorado to join our team! At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey. Our Values Respect | Belonging | Accountability | Transparency.

About the role

Department Billing and Collections

Responsibilities

• Completes claims submissions, performs review of accounts, ensure that work performed is accurate and complete.
• Consistently documents contact with debtor/insurance and/or any other content to the account using appropriate methods.
• Reviews account information and make necessary changes.
• Researches, corrects, and resubmits claims within the mandated time frames to avoid loss of revenue.
• Initiates collections by contacting third party payer/debtor or designated representative.
• If assigned to cash applications, assures that payments are posted and reconciled timely (40%).
• Uses billing systems efficiently and appropriately. Follows and understands actions needed to correctly effect patient accounts with the Siemens Invision system. Utilizes the imaging system to perform needed account research; able to scan, import and export if needed. Uses eligibility software to ensure the correct payer is billed.
• Processes accounts transactions accurately that involve transfer of charges, combining accounts, or manual adjustments.
• Processes and responds to incoming correspondence from insurance carriers, patients, and other Denver Health departments to move the accounts toward resolution.
• Identifies and communicates existing or potential problems to supervisor in a timely manner. Offers constructive actions in problem resolution.

Requirements

• High School Diploma or GED Required
• Associate's Degree Preferred
• 1-3 years Experience in a hospital or clinic revenue cycle setting Required

Qualifications

• Knowledge and understanding of insurance benefit plans and explanation of benefits.
• Current knowledge of regulatory requirements and codes.
• 10-key by touch, typing a minimum of 25 words per minute (WPM) and, basic skills in word processing and spreadsheet applications.
• Ability to prioritize work activities with minimal supervision, in an individual and team setting.
• Strong written and verbal communication skills, analytical thinking, high level of computer accuracy, and organization and problem solving skills.
• Ability to utilize various software applications and information systems to perform work processes.
• Ability to adapt easily to change.
• Ability to read and understand the payer explanation of payment.

Skills

• Knowledge and understanding of insurance benefit plans and explanation of benefits.
• Current knowledge of regulatory requirements and codes.
• 10-key by touch, typing a minimum of 25 words per minute (WPM) and, basic skills in word processing and spreadsheet applications.
• Ability to prioritize work activities with minimal supervision, in an individual and team setting.
• Strong written and verbal communication skills, analytical thinking, high level of computer accuracy, and organization and problem solving skills.
• Ability to utilize various software applications and information systems to perform work processes.
• Ability to adapt easily to change.
• Ability to read and understand the payer explanation of payment.

Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Comprehensive health coverage
• Nationally recognized well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer