Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Revenue Management Contract Management Payment Processing Industry Trend Analysis Prospective Payment Systems Explanation Of Benefits (EOB) Medical Abbreviations Cash Register Account Management Payment Processing Problem Management

Other Skills

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Mentorship
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Computer Literacy
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Time Management
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Teamwork
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Detail Oriented
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Verbal Communication Skills
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Social Skills

Roles & Responsibilities

Advanced knowledge of revenue cycle and health insurance payers
Interpreting payer contracts to ensure codes on patient accounts match contracts
Advanced knowledge of Coordination of Benefits
HIPAA regulations

Requirements:

Identifies appropriate payment details and saves backup documentation as appropriate
Researches, validates, and makes adjustments to payment postings
Follows up in accordance with procedures and policies to achieve account resolution
Trains new and existing associates and mentors peers as needed

Mount Saint Vincent

About Mount Saint Vincent

Mount Saint Vincent’s mission is as relevant today as it was 141 years ago—to partner with children and families to heal beyond trauma into a healthy and hopeful future. We support children and families with pediatric services across this continuum of care:Pediatric Behavioral Health TherapiesOur therapists are trained in evidenced-based modalities including, but not limited to play therapy, trauma therapy, cognitive behavioral therapy, Parent-Child Interaction Therapy, dialectical behavior therapy, family systems, eye movement desensitization and reprocessing, and the Neurosequential Model of Therapeutics. Below are summaries of our core therapies utilizing these modalities:• Outpatient Therapy (ages 2-18 years) - Individual, family and group therapies—in office or through telehealth—to accommodate behavioral and mental concerns beyond those caused by trauma, abuse and neglect.• In-Home Therapy (ages 2-12 years) - Intensive trauma-informed therapies to support families with children living in their homes experiencing behavioral, emotional and mental health concerns.• Day Treatment and Education (ages 5-13 years) - Enrolling students struggling in traditional school settings, this program features a therapeutic milieu to successfully reintegrate them to their schools of origin.Foster Care Program (ages newborn to 18 years)To help navigate the process of becoming a foster parent, our program offers traditional and therapeutic training, certification and individualized support. Foster parents provide temporary 24-hour care to children who cannot remain in their homes of origin due to abuse, neglect or other safety concerns. Preschool (ages 3-5 years)Earning five out of five stars from Colorado Shines, the high-quality rating program for preschools, our early learning center encourages exploration, creativity and growth in all aspects of child development. Our program offers full, half and extended-day options.

Founded: 2018

Company size: 51 - 200

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Job description

Job Description:

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner.

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 with an overall goal of account resolution.
Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts.
Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution.
Abel to navigate various payer claim portals and understand payer functionality.
Interacting with others by effectively communicating both orally and in writing.
Operate computers and other office equipment, as well as various computer software’s.
See and read computer monitors and documents in English.
Train 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
Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner
Advanced knowledge of Medical Terminology
Payment Handling
Effective written and verbal communication
Assist Leadership with mentoring peers as well as new hires.
Computer Literacy
Time Management
HIPAA Regulations

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont and Washington

Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$19.29 - $27.45

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.

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

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