• Boulder Community Health
  • Boulder , CO
  • Accounting
  • Full-Time
  • 670 Logan Mill Rd

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Boulder Community Health was recently honored as Best Local Employer by the Daily Camera in the 2018 Boulder County Gold, their People s Choice Awards for businesses in Boulder County. Come join us and be a part of an independent, community-focused health system and feel good knowing that your work will make a difference in people s lives and be a positive contribution to the community.

POSITION SUMMARY
Accurate billing of medical insurance claims and timely follow-up working from an aged trial balance report. Knowledge of compliance issues and research and follow-up on payment denials. Requires ability to research and resolve a wide variety of patient billing or insurance coverage issues under general supervision.

JOB QUALIFICATIONS

Education or Formal Training
Minimum high school diploma or equivalent preferred

Special Qualifications (Licensure, Registration, etc.)
CPAT preferred

Knowledge, Skill and Ability

  • Ability to communicate effectively.
  • Basic math/accounting aptitude.
  • Vision necessary to accurately process paperwork.
  • Manual dexterity to operate keyboards
  • Ability to type 30 wpm
  • Ability to use ten-key adding machine
  • Able to work cooperatively with others under stressful situations and high volume periods and handle duties with accuracy and organization
  • Must have neat and professional appearance
  • Excellent public relations skills required
  • Able to answer multi line phones
  • Must exemplify hospital ENCORE! values and comply with house standards and values
  • Requires accuracy and attention to detail
  • Experience
  • Minimum 2 years in a clerical setting preferred.
  • Minimum 1-year experience billing and collecting in a medical setting preferred.
  • Experience in governmental, managed care, workers compensation and motor vehicle billing and follow-up preferred.
  • GOVERNMENT BILLING ESSENTIAL DUTIES/RESPONSIBILITIES
  • Electronically and manually review and edit claims for government insurance billing and rebilling for all facilities at BCH.
  • Responsible for knowledge of compliance issues and adherence.
  • Billing for insurance companies second to government insurances.
  • Billing for Medicare and/or Medicaid second to other insurances.
  • Accurate follow-up with Medicare and Medicaid using compliance guidelines.
  • Accurate follow-up with other government insurances.
  • Reviews computerized reports to determine course of action necessary to collect monies due from primary government insurances, second insurances, or patient.
  • Assists patients with their accounts.
  • Refunds primary government insurances appropriately, as well as second insurances or the patient, after researching payments on accounts which have created a credit balance.
  • MANAGED CARE/WORKERS COMP/MOTOR VEHICLE BILLING ESSENTIAL DUTIES/RESPONSIBILITIES
  • Electronically and manually review and edit claims for managed care, commercial, workers compensation and motor vehicle billing and rebilling for all facilities at BCH.
  • Billing for insurance companies secondary to Managed Care, Commercial Primary accounts.
  • Receivables follow-up utilizing an aged trial balance report. Receivables percentage must be within expectations set by PBA management.
  • Research and follow-up on payment denials to determine validity of denial. Requires ability to research and resolve a wide variety of patient billing or insurance coverage issues under only general supervision..
  • Maintains accuracy of accounts on computer system with daily data input including notes, adjustments, billing, and demographic information.
  • Assists patients with their accounts.
  • Assists Refund Team with insurance refund questions.
  • Responsible for knowledge of compliance issues and adherence.
  • WORKING ENVIRONMENT/PHYISCAL ACTIVITIES

  • Minimal lifting/bending.
  • Long periods of sitting, data input, and phone usage.
  • About Boulder Community Health and Boulder, Colorado

    Uncompromising medical excellence, delivered with the values of respect and compassion. Since 1922, Boulder Community Health has built our reputation on this promise. As a community-owned and operated not-for-profit hospital and clinics, we remain dedicated to meeting the evolving healthcare needs of our citizens and providing access to high quality medical care. Our state-of-the art facilities are home to many medical professionals who offer an extensive range of medical services.

    Nestled in the foothills of the Rocky Mountains, adventure awaits you right outside your door. Big, beautiful vistas, serene snow-capped mountains, and a lifestyle conducive to enjoying the outdoors bring a truly fresh perspective to our practice of healthcare.

    Surround yourself by natural beauty and an active, life-embracing community, while you enjoy state of the art facilities and equipment along with a competitive compensation and benefits package, including health/dental/life, paid annual leave, tuition reimbursement and much more.

    EOE/Affirmative Action/Drug-free workplace


    Associated topics: account, accounts receivable, authorization, billing, clerk, clinical documentation specialist, coder, data entry, receivable, review

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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