Insurance & Billing Processor - Administrative Services Building, Alamosa

Description

Job Title: Insurance and Billing Processor
Department: Accounts Receivable
Location: Administrative Services Building, Alamosa, CO
Position Type: Full-Time

Job Summary:

Primary responsibility of position is to ensure accurate and timely billing on patient accounts with insurance companies, including claim submission, re-billing, and follow up as needed.

Primary Duties & Responsibilities:
Initiates billing from Private/Commercial insurances, Medicaid, Medicare, etc.

• Prepare and submit weekly claims electronic or paper when applicable, review to ensure accuracy and that submission is in accordance to payer guidelines
• Consistently follow up on claims, contacting carriers and re-billing claims as needed so revenue loss is minimal.
• Proactively work errors and denials, research reason for denial, helping to facilitate a resolution.
• Periodically review payer guidelines for changes or updates.
• Send out letters of appeal on rejected claims
• Enter adjustments if appropriate and generate refund requests for over payments.
• Maintains all related files and correspondence

Provide Support for the Accounts Receivable Department

• Make adjustments on transmittals and balancing transmittals.
• Take calls from patients regarding their

Must foster a culture of patient and family centered care, service, quality and safety excellence, while improving patient experience, employee experience and community relations

Knowledge, skill and ability:

• Strong organizational skills professional communication skills
• Demonstration of accuracy and high attention to detail.
• Ability to multi-task and above average math skills.
• Bilingual skills (Spanish/English) preferred

Experience:

Qualified candidate will have two years previous office experience, data entry or third party billing experience.

Required Education:
High School Diploma or Equivalent

Requirements and Conditions:
• Drug screen is required
• Background check is required

Pay Range: Min $15.50 - Max $18.99 (based on qualifications and experience)

Benefits:

• Health, Dental, Vision Insurance, HRA, FSA, DCA, Retirement Plan
• MASA – Employer paid Air Ambulance Coverage
• Paid Leave: Vacation – 10 days accrued/year, Sick – 12 days accrued/year, Holidays – 8 days/year
• Retirement Employer match after one year of employment
• Employer paid Basic Life, LTD, STD
• Local Gym Discounts
• Free Employee Assistance Program
• Wellness Program with opportunity to earn 8 hours off during the fiscal year
• Cell phone discounts
• Volunteer paid time off (up to 8 hours per fiscal year)

Applications must be submitted by: Open until Filled 

Valley-Wide Health Systems, Inc. is an Equal Opportunity Employer:
We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.

Employee Rights Under the Family and Medical Leave Act (FMLA

Qualifications