Intermountain Health
Job Description
This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient’s account within Intermountain policies and procedures. Essential Functions
Identifies appropriate payment detail and saves back-up as appropriate. Balances payments to deposits in systems and applications.
Resolves escalated requests from A/R and posting teams as well as TPBs for missing or inaccurate remittance advice.
Researches and follows-up on missing information, such as EOB and insurance remittances. Contact payers as necessary to obtain detailed info in regard to payments.
Identifies errors from payers and performs root cause analysis.
Coordinates with payers and/or clearinghouse to resolve payment errors.
Evaluates payment types, patient vs non patient, obtains back up and assigns work accordingly.
Identifies payment type and error type and coordinates/partners accordingly for resolution with clearinghouse, payer directly or EDI team.
Identifies missing expected weekly/monthly payments and performs appropriate follow up i.e: collection agencies, capitation, bonuses, etc.
Performs check matching activities when system automation cannot.
Supports training and mentoring of new team members.
Meets department’s productivity and quality goals.
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
Collaborate with other teams across the organization
Participate in meetings and educational requirements
Performs other duties as assigned.
Skills
General computer skills. Typing, 10-key, and MS Office products including Word and Excel Required
In depth knowledge of clearing houses and payer processes
Ability to read and interpret 835s and Explanation of Benefits (EOBs)
Must be able to communicate effectively with face-to-face interaction, outbound calls, and/or electronic messaging
Working knowledge of converting files from text to pdf
Knowledge of general medical billing, insurance, and compliance regulations and coding.
Medical terminology
Computer Literacy and Troubleshooting
Working knowledge of Commercial and Government payer portal
Physical Requirements
Interact with others by effectively communicating, both orally and in writing
Operate computers and other office equipment requiring the ability to move fingers and hands
See and read computer monitors and documents
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment
May require lifting and transporting objects and office supplies, bending, kneeling and reaching
Qualifications
High School Diploma or equivalent is required
Two (2) years back-end revenue cycle experience OR Three (3) year previous patient cash handling experience is required
Vocational training/education in insurance billing and collections is preferred
Location
Lake Park Building Work City
West Valley City Work State
Utah Scheduled Weekly Hours
40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $21.84 – $33.23 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 https://intermountainhealthcare.org/careers/benefits . 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. All positions subject to close without notice.
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This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient’s account within Intermountain policies and procedures. Essential Functions
Identifies appropriate payment detail and saves back-up as appropriate. Balances payments to deposits in systems and applications.
Resolves escalated requests from A/R and posting teams as well as TPBs for missing or inaccurate remittance advice.
Researches and follows-up on missing information, such as EOB and insurance remittances. Contact payers as necessary to obtain detailed info in regard to payments.
Identifies errors from payers and performs root cause analysis.
Coordinates with payers and/or clearinghouse to resolve payment errors.
Evaluates payment types, patient vs non patient, obtains back up and assigns work accordingly.
Identifies payment type and error type and coordinates/partners accordingly for resolution with clearinghouse, payer directly or EDI team.
Identifies missing expected weekly/monthly payments and performs appropriate follow up i.e: collection agencies, capitation, bonuses, etc.
Performs check matching activities when system automation cannot.
Supports training and mentoring of new team members.
Meets department’s productivity and quality goals.
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
Collaborate with other teams across the organization
Participate in meetings and educational requirements
Performs other duties as assigned.
Skills
General computer skills. Typing, 10-key, and MS Office products including Word and Excel Required
In depth knowledge of clearing houses and payer processes
Ability to read and interpret 835s and Explanation of Benefits (EOBs)
Must be able to communicate effectively with face-to-face interaction, outbound calls, and/or electronic messaging
Working knowledge of converting files from text to pdf
Knowledge of general medical billing, insurance, and compliance regulations and coding.
Medical terminology
Computer Literacy and Troubleshooting
Working knowledge of Commercial and Government payer portal
Physical Requirements
Interact with others by effectively communicating, both orally and in writing
Operate computers and other office equipment requiring the ability to move fingers and hands
See and read computer monitors and documents
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment
May require lifting and transporting objects and office supplies, bending, kneeling and reaching
Qualifications
High School Diploma or equivalent is required
Two (2) years back-end revenue cycle experience OR Three (3) year previous patient cash handling experience is required
Vocational training/education in insurance billing and collections is preferred
Location
Lake Park Building Work City
West Valley City Work State
Utah Scheduled Weekly Hours
40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $21.84 – $33.23 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 https://intermountainhealthcare.org/careers/benefits . 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. All positions subject to close without notice.
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