Revenue Cycle Specialist I

Intermountain Health

3d • $19 - $27

About The Position

Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc. Review, document, and resolve all incoming correspondence and payor calls; assist as needed on aging reports, reports all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments, as needed. Essential Functions Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Research and follow-up on outstanding claims. Appropriately document in the system all correspondence and action for the claim. Follow up in accordance with procedures and policies with an overall goal of account resolution. Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues. Responsible for meeting or exceeding productivity and quality goals.

Requirements

• Billing Documentations
• Communication
• Customer Follow-Ups
• Time Management
• Medicare Billing
• Medical Billing
• Microsoft Office
• Computer Literacy
• HIPAA Regulations
• High School Diploma or equivalent (GED)
• One (1) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
• Knowledge of Medicaid and Medicare billing regulations

Nice To Haves

• Knowledge of Revenue and ICD coding language
• Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)

Responsibilities

• Responsible for the timely follow-up of claims billed and resolution of accounts.
• Oversees the account receivables and maintains detailed/accurate account documentation.
• Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation.
• Responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc.
• Review, document, and resolve all incoming correspondence and payor calls; assist as needed on aging reports, reports all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments, as needed.
• Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
• Research and follow-up on outstanding claims.
• Appropriately document in the system all correspondence and action for the claim.
• Follow up in accordance with procedures and policies with an overall goal of account resolution.
• Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
• Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
• Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
• Submit requested medical information to insurance carrier.
• Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
• Responsible for meeting or exceeding productivity and quality goals.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees