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Role Description

Valley View Hospital is seeking a qualified individual to work as a full-time Billing Auditor in our Patient Financial Services department. This is a REMOTE position! Must live in the United States.

• Billing or Insurance Follow-up experience required!
• Meditech/Epic experience preferred!
• 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 to resolve balances and obtain financial goals of the department.
  • Process re-bills as necessary.
  • Validate claims on SSI.
  • 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 the 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, physician's office, and ancillary departments.
• Coordinates with the 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.

Requirements

• Good credit rating required.

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.