Intermountain Health
Revenue Cycle Specialist II
The Revenue Cycle Specialist II is responsible for performing a variety of complex duties, including working outstanding insurance claims followup for no response, unresolved from payors, and/or claim denials. Works facility claims ("Hospital billing"). Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values. Essential Functions Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections. Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues. Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Reconcile accounts, research and resolve various issues relating to posting payments and charges, insurance denials, secondary billing issues, sequencing charges, and non-payment of claims. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed while meeting/exceeding productivity and quality standards Participate and attend meetings, training seminars and in-services to develop job knowledge. Skills Microsoft Office Computer literacy HIPAA regulations Communication (oral and written) Accountability/ability to work independently Contract Interpretation Customer Service Read and interpret EOB's (Explanation of Benefits). Knowledge of medical billing and collections Medical terminology Qualifications High school diploma Two (2)+ years of experience in hospital or physician insurance related activities (Billing & Follow-Up) Knowledge of revenue and ICD 10 coding practices Physical Requirements Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. Location: Peaks Regional Office Work City: Broomfield Work State: Colorado Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45 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.
The Revenue Cycle Specialist II is responsible for performing a variety of complex duties, including working outstanding insurance claims followup for no response, unresolved from payors, and/or claim denials. Works facility claims ("Hospital billing"). Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values. Essential Functions Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections. Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues. Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Reconcile accounts, research and resolve various issues relating to posting payments and charges, insurance denials, secondary billing issues, sequencing charges, and non-payment of claims. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed while meeting/exceeding productivity and quality standards Participate and attend meetings, training seminars and in-services to develop job knowledge. Skills Microsoft Office Computer literacy HIPAA regulations Communication (oral and written) Accountability/ability to work independently Contract Interpretation Customer Service Read and interpret EOB's (Explanation of Benefits). Knowledge of medical billing and collections Medical terminology Qualifications High school diploma Two (2)+ years of experience in hospital or physician insurance related activities (Billing & Follow-Up) Knowledge of revenue and ICD 10 coding practices Physical Requirements Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. Location: Peaks Regional Office Work City: Broomfield Work State: Colorado Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45 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.