Revenue Cycle Specialist II

Intermountain Health

1d • Onsite

About The Position

The Revenue Cycle Specialist II is responsible for performing a variety of complex duties, including working outstanding insurance claims follow-up for no response, unresolved from payors, and/or claim denials. This role specifically works facility claims ("Hospital billing") and maintains Accounts Receivable (A/R) at acceptable aging levels by prompt follow-up of unpaid and denied claims. The specialist is expected to perform all duties in a manner which promotes teamwork and reflects Intermountain's mission, vision, and values.

Requirements

• High school diploma
• Two (2)+ years of experience in hospital or physician insurance related activities (Billing & Follow-Up)
• Knowledge of revenue and ICD 10 coding practices
• Microsoft Office
• Computer literacy
• HIPAA regulations
• Communication (oral and written)
• Accountability/ability to work independently
• Contract Interpretation
• Customer Service
• Read and interpret EOB’s (Explanation of Benefits).
• Knowledge of medical billing and collections
• Medical terminology

Responsibilities

• Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections.
• Submit requested medical information to insurance carrier.
• Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
• Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims.
• Reconcile accounts, research and resolve various issues relating to posting payments and charges, insurance denials, secondary billing issues, sequencing charges, and non-payment of claims.
• Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
• Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
• Accurately and thoroughly document the pertinent collection activity performed while meeting/exceeding productivity and quality standards
• Participate and attend meetings, training seminars and in-services to develop job knowledge.

Benefits

• 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.
• 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: Mid Level
• Education Level: High school or GED