Location: Glenwood Springs,CO, USA
GENERAL OBJECTIVES:
* Enters patient information, charges and billing information accurately in
compliance with Medicare, Medicaid and other payor requirements
* Sends patient statements and insurance claims in accurate, timely manner.
Coordinates third party billing activity, ensures clean claims are sent, resolves
billing issues, and balances claims.
* Manage all claims entry into Athena and Meditech for RMU.
PRIMARY DUTIES AND RESPONSIBILITIES
* Enters patient information accurately and in a timely manner in compliance with payor requirements.
* Enters all charges, insurance, and patient payments.
* Processes and sends patient statements.
* Communicates with MDs and RNs to ensure complete, accurate coding.
* Files clean claims to payors either on paper (1500 form) or through Navicure whole ensuring that rejected claims are edited and resubmitted.
* Monitors bills and generates reports to ensure that all accounts are billed in a timely manner.
* Prepares and bills second payor accounts.
* Reviews all late charges and credits for accuracy and re-bills as indicated.
* Coordinates with vendors (Navicure) to ensure timely billing.
* Performs follow-up communication with insurance companies, managed care networks, governmental payors and/or employers regarding unpaid claims.
* Re-bills insurance as needed.
* Makes necessary corrections to accounts and documents activity including patient and insurance company credits.
* Processes any applicable contract discounts to accounts.
* Balances claims processed and received by carrier.
* Escalates follow-up to a higher level of collection activity as necessary (AR Services).
* Monitors aging claims and collections for out-of-timely filing, bankruptcy, etc.
* Documents all payment activity on the monthly Dashboard.
* Works closely with registration regarding patient balances, insurance entry, etc.
* Enters coding updates as needed.
* Processes refunds to insurance companies and/or patients as needed.
* Answers telephone calls from patients, insurance companies, employers, and anyone else with a billing question.
* Performs above duties while maintaining the Clinic's high standard of courteous, professional communication.
* Performs other duties as instructed by director.
QUALIFICATIONS:
* High School graduate
* Excellent customer service and communication skills
* 2-3 years medical billing experience preferred
SALARY RANGE
* $20.41 to $30.02/hour
* Entry salary dependent upon education, skill-set, and experience.
BENEFITS
Valley View offers a comprehensive benefit package that supports our employees' physical, emotional and financial health.
* Medical, Dental and Vision
* Annual Bonus based upon organizational and individual performance.
* Flexible Spending Account (FSA)
* Generous Paid Time Off accrual
* Tuition Assistance
* 401(a) and 403(b) plans
* Employee Assistance Program
* Employee discount on Valley View Services
* Use of Sunlight and Aspen SkiCo day passes
APPLICATION SUBMISSION END DATE
Application window will close upon successful hire of qualified candidate