Self-Pay Biller, Hospital PFS, Full time

Position Highlights:

• Position: Biller
• Location: Hospital PFS
• Schedule: Full-Time

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:

• 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 until June 30 2026