Revenue Cycle Specialist

STRIDE Community Health Center•Wheat Ridge, CO

2h•$22 - $26•Hybrid

About The Position

At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare-we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area. With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you. General Purpose: This position is critical to the success of the revenue cycle. Bill and collect payments for services rendered from a variety of payor sources. The Patient Accounts Billing Specialist is responsible for timely and accurate coding, billing, claim denials, and payment posting.

Requirements

Integrity: Doing the right thing even when no one is watching
Compassion: Meeting patients where they are with empathy
Accountability: Following through on our commitments.
Respect: Valuing human dignity
Excellence: Embracing a growth mindset and striving for continuous improvement.
High school diploma or GED
Ability to interact positively and build rapport with patients, coworkers and/or external contacts
Ability to work independently and organize work in a manner that ensures accuracy and efficiency
Knowledge of medical electronic billing procedures and coding
Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
Customer service skills, including the ability to diffuse upset patients
Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
Skill in using a variety of computer software including but not limited to the internet and MS Office products
Ability to handle sensitive information ethically and responsibly
Ability to protect the confidentiality of patients, employee and business information
Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize
Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
Microsoft suite and various audio/video platforms
Internal and external IT ticketing systems
Office environment within a clinical setting. Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs. occasionally. Communicate information to others. Discerns/analyzes information from others to assist in decision making.
To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.

Nice To Haves

CPC Certification preferred
Bilingual Spanish is preferred

Responsibilities

Resolve issues with incomplete and/or inaccurate patient registration
Verify charges were entered correctly and update as needed.
Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module
Review and assess adjudicated claims for timely and proper payment of outstanding balances
Research, correct and resubmit or reprocess unpaid claims as necessary
Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting
Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments
Research and resolve denials and underpayments with insurance carriers
Submit third party payor appeals and reconsideration requests in a timely manner
Meet department and/or organization productivity goals/benchmarks
Post third party payors(s), government, grant funded and patient payments
Respond to patient inquiries regarding billings
Assist other staff as needed to keep department workload current
Maintain communication with all interested parties regarding patient account issues
Perform other duties as assigned

Benefits

Medical, dental and vision coverage
Paid time off and paid holidays
Health Savings account (HSA) and Flexible Spending accounts, including dependent care options.
401(K) with matching for eligible employees
Work-Life balance-No nights, no weekend and no major holidays
NHSC loan repayment assistance
Tuition reimbursement and continuing medical education assistance
Employee Assistance Program (EAP)
Employee discount programs on top local attractions
Competitive wages