Revenue Cycle Specialist

We are recruiting for a motivated Revenue Cycle Specialist to join our team!

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Being the heartbeat of Denver means our heart reflects something bigger than ourselves something that connects us all:

Humanity in action Triumph in hardship Transformation in health.

Department

Billing and Collections

Job Summary

Under general supervision the Specialist ensures optimal reimbursement for hospital or provider billing on inpatient and outpatient accounts. Provides customer service billing timely followup cash application processes reconciling payer remittance denial management and appeal functions for claims to government or grant funded programs workers compensation commercial insurance. Provides financial guidance on selfpay accounts. Interprets explanation of benefits. Investigates delinquent accounts for legal liability. Acts as liaison support between the Hospital and Physician Business Services departments and thirdparty payers and other Denver Health departments. Utilizes various software applications and information systems to perform work processes.

Essential Functions:

• 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 makes 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. 40
• Returns assignments within the appropriate timeframe and with suggestions for resolution or process improvement. Completes worklists as assigned. Work product is consistently of high quality. Staff QAd weekly and must be at 97 or higher. 20
• 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. 15
• Processes accounts transactions accurately that involve transfer of charges combining accounts or manual adjustments. 10
• Processes and responds to incoming correspondence from insurance carriers patients and other Denver Health departments to move the accounts toward resolution. 10
• Identifies and communications existing or potential problems to supervisor in a timely manner. Offers constructive actions in problem resolution. 5

Education:

• High School Diploma or GED Required

Work Experience:

• No previous experience required.

Licenses:

Knowledge Skills and Abilities:

• Knowledge and understanding of insurance benefit plans and explanation of benefits.
• Have current knowledge of regulatory requirements and codes.
• Skill sets to include 10key 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.

Shift

Days (United States of America)

Work Type

Regular

Salary

$22.50 $31.50 / hr

Benefits

• Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5 and generous medical plans

• Free RTD EcoPass (public transportation)

• Onsite employee fitness center and wellness classes

• Childcare discount programs & exclusive perks on large brands travel and more

• Tuition reimbursement & assistance

• Education & development opportunities including career pathways and coaching

• 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

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safetysensitive positions must pass a preemployment drug test once a conditional offer of employment has been made.

Denver Health is an integrated highquality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 schoolbased health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.

As Colorados primary and essential safetynet institution Denver Health is a missiondriven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.

Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.

Applicants will be considered until the position is filled.