Revenue Cycle Specialist

• Works with Meditech system for reminders and with collector desktop. Works rejected claims and denials from Change Healthcare Billing system.
• Researches refund requests and submits to Director for approval from CFO
• Verifies insurance coverage by phone, iPas system, web access at the time of service or after final billing.
• Provide and create UB04 for patients when necessary for accident insurance
• Collect Payments from patients and enter and maintain cash drawer to be balanced daily during shift
• Reviews Late charge report for claim correction if late charges have been added or removed from the accounts
• Reviews ER report for VA patients to make sure that phone call has been made to 72 hrs. line in order to get authorization for emergencies services for veterans (if this hasn’t been done by admissions I go and do it in VA portal)
• Work Three day report to see if accounts need to be combined in the same claim for reimbursement

• High School graduate or equivalent required.
• Must have ability to read, write and follow instructions.
• Ability to accurately type 35 words per minute required
• Two years of clerical experience preferred in a medical billing setting with patient contact.
• Collections experience and one year claims processing and / or insurance experience preferred.
• Ability to communicate both verbally and in writing in a professional manner in sometimes difficult or emotional situations.

Takes action to bring outstanding accounts receivable (A/R) to a zero balance, preferably by the collection of payment in full. Reviews open A/R accounts and takes appropriate action on those accounts. Specific actions can include, but are not limited to asking patients for payment in full, setting up payment arrangements, working with third party payers to pay the claim, issuing contractual allowances, sending or recommending accounts to collections or for charity Organizes the collection and reporting of information for the Colorado Medically Indigent Program. Reviews and routes bills appropriately as they are produced from the information system. Works closely with facility coding, physician billing and admissions.

Benefits Guide