Self Pay Biller Responsibilities:
Follows up on all assigned accounts within the billing systems in accordance with pre-established goals.
- Initiates proactive measures that result in account resolution.
- Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
- Ensures that all conditions for payment receipt have been satisfied which includes but is not limited to accurate charges and financial class authorization/certification/information claims address ICD-10 and CPT-4 coding patient insurance eligibility patient benefit coverage and patient responsibility
- Writes appropriate notes in the system for every account including any action taken.
- Meets daily and weekly productivity standards.
Responds timely and accurately to all incoming correspondence and inquiries from payers patients and other appropriate parties.
- Initiates contact with patient as necessary.
- Initiates recommendations and action plans for resolving accounts.
- Evaluates accounts to determine any write-offs or corrections required including duplicate charges.
- Handles in a professional and confidential manner all correspondence documentation and files.
- Attempts to locate patient/guarantor through direct contact letter or other means.
- Receives and answers inquiries or complaints concerning self-pay accounts; gathers information for timely resolution of issues.
- Speaks with patient/guarantor to find third-party sponsorship settlement or to begin charity process.
- Prepares correspondence to patient/guarantor as necessary.
- Establishes payment arrangements according to preset guidelines.
- Elevates issues as appropriate to the supervisor.
Submits claims and/or statements for payments.
Prepares refund requests for any monies due to patient or insurance company.
Reviews various reports to identify denials and edits; corrects claims suggests action plans to eliminate these denials/edits in the future and determines appropriateness for appeal. Prepares write-offs requests for denied claims which cannot be appealed. Investigates the possibility of Medicaid linkage.
Requirements:
High school diploma or equivalent. One to three years related experience and/or training preferred.
Compensation:
- $19.00 - $21.85 per hour depending on education and experience.
- Discretionary bonuses relocation expenses merit increase market adjustments recognition bonuses and other forms of discretionary compensation may be available.
Benefits: (FT/PT)
- Medical dental vision insurance
- Life Insurance
- Free Parking
- Paid time off
- Education assistance
- 403(b) with employer matching
- Wellness Program
- Additional benefits based on employment status
Additional Information:
- Relocation: Must relocate to Grand Junction CO 81505 before starting work.
- Work Location: In-person/onsite
- Application Deadline: Posting will remain open untilJuly 31 2025 or until the position is filled
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