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

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　　DepartmentBilling and Collections

　　Job Summary

　　Under general supervision, the Specialist ensures optimal reimbursement forhospital or provider billing on inpatient and outpatient accounts. Providescustomer service, billing, timely follow-up, cash applicationprocesses, reconciling payer remittance, denial management and appealfunctions for claims to government or grant funded programs, worker'scompensation, commercial insurance. Provides financial guidance on self-payaccounts. Interprets explanation of benefits. Investigates delinquent accountsfor legal liability. Acts as liaison support between the Hospital andPhysician Business Services departments and third-party payers and otherDenver Health departments. Utilizes various software applications andinformation systems to perform work processes.

　　Essential Functions:

　　Completes claims submissions, performs review of accounts, ensure thatwork performed is accurate and complete. Consistently documents contact withdebtor/insurance and/or any other content to the account using appropriatemethods. Reviews account information and makes necessary changes.Researches, corrects, and resubmits claims within the mandated time framesto avoid loss of revenue. Initiates collections by contacting third partypayer/debtor or designated representative. (40%)Returns assignments within the appropriate timeframe and with suggestions forresolution or process improvement. Completes worklists as assigned. Workproduct is consistently of high quality. Staff QA'd weekly and must be at97% or higher. (20%)Uses billing systems efficiently and appropriately. Follows and understandsactions needed to correctly effect patient accounts with the Siemens Invisionsystem. Utilizes the imaging system to perform needed account research; ableto scan, import and export if needed. Uses eligibility software to ensurethe 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 towardresolution. (10%)Identifies and communications existing or potential problems to supervisor ina timely manner. Offers constructive actions in problem resolution. (5%)Education:

　　High School Diploma or GED RequiredWork Experience:

　　No previous experience required.Licenses:

　　Knowledge, Skills and Abilities:

　　Knowledge and understanding of insurance benefit plans and explanation ofbenefits.Have current knowledge of regulatory requirements and codes.Skill sets to include 10-key by touch, typing a minimum of 25 words perminute (WPM) and, basic skills in word processing and spreadsheetapplications.Ability to prioritize work activities with minimal supervision, in anindividual and team setting.Strong written and verbal communication skills, analytical thinking, highlevel of computer accuracy, and organization and problem solving skills.Ability to utilize various software applications and information systems toperform work processes.Ability to adapt easily to change.

　　Shift

　　Work TypeRegular

　　Salary$21.82 - $29.53 / hr

　　Benefits

　　Outstanding benefits including up to 27 paid days off per year, immediateretirement plan employer contribution up to 9.5%, and generous medical plans

　　Free RTD EcoPass (public transportation)

　　On-site employee fitness center and wellness classes

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

　　Tuit on 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