Billing Auditor, full-time

Valley View Hospital is seeking a qualified individual to work as a full-time Billing Auditor in our Patient Financial Services department. This is an in-person position (not remote).

The general objectives of this position are to: coordinate Commercial billing ensuring clean claims are sent out; demonstrate extensive methodology and knowledge to produce accurate UB04 and 1504 forms; deal with billing issues in a professional manner in order to resolve balances and obtain financial goals of the department; process re-bills as necessary; validate claims on SSI; and ensure that claims are sent out with appropriate information such as authorizations and correct patient information.

PRIMARY DUTIES AND RESPONSIBILITIES

• Maintains accurate account information at all times.
• Makes necessary corrections to accounts for proper billing.
• Ensures billing is done in a timely manner by monitoring reports generated by billing system.
• Processes the Medicaid RA for adjustments.
• Re-bills insurance companies when needed.
• Timely prepares and bills secondary payer accounts.
• Researches and resolves late charge/credits for accuracy and re-bill.
• Documents each account to reflect action taken and when additional action is scheduled.
• Acts as a liaison and coordinates needed documentation between payer medical records review organizations manager care provider physicians office and ancillary departments.
• Coordinates with system operations department to discuss processing problems and resolutions.
• Monitors rejection reports and resolves issues.
• Provides feedback of issues and trends to improve processes.
• Ensures claims are received by the payers.
• Covers the duties of the other billers (Medicare and Medicaid) when needed.

QUALIFICATIONS

Education:

• High School graduate or equivalent required.

Experience:

• 1-3 years of healthcare business office experience required.
• Organizational experience required.

Skills:

• Computer skills Meditech SSI Optical Storage System PC Windows Software.
• Read/comprehend written instructions.
• Follow verbal instructions.
• Payer billing requirements compliance.

Requirement:

• Good credit rating required.

SALARY

• Entry salary dependent upon education skill set and experience.
• Wage range:$20.00- $28.87/hour

BENEFITS

• Medical Dental and Vision coverage including coverage for eligible dependents
• Employer paid basic life coverage with buy-up coverage options
• Flexible Spending Account (FSA) for health care and dependent care.
• Time away from work: paid time off (PTO) paid family and medical leave (inclusive of Colorado FAMLI) Paid Sick/Bereavement Leave under Colorado Healthy Families and Workplaces Act (HFWA) leaves of absence.
• Tuition Assistance Available
• Retirement Plan 401(a)
• Retirement Plan 403(b) plans with employer matching contributions.
• Employee Assistance Program
• Employee discount on Valley View Medical Services
• Employee voluntary benefits such as Discounted RFTA bus passes discounted gym memberships Corporate Ski passes free car seat for new Valley View babies born or adopted by Valley View employee(s)
• Free Use of Sunlight and Aspen SkiCo day passes based on availability.

Loan Repayment:

Valley View is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program!

APPLICATION SUBMISSION END DATE

This position will be open for a minimum of three days and until a top applicant is identified.

About Us
Located between Aspen and Vail along the Colorado River Glenwood Springs is a mecca for outdoor adventures in our beautiful mountains. When you are looking to relax we also have the largest hot springs pool in the world. As a community with a population of about 10000 Glenwood Springs is an ideal size.

Valley View Hospital offers exceptional benefits including a robust health and dental plan; vision and life insurance; defined contribution pension plan; 403(b); and generous accrual of vacation/sick days. Relocation and other financial assistance may apply along with many more employee perks.

At Valley View our mission is to provide convenient connected care to the communities of Western Colorado with scope technology and expertise that are rarely found in regional hospitals.