The Billing Representative ensures accounts are paid according to contract guidelines and individual agreements. Submits 'clean' electronic and paper claims to payers. Reviews, adjusts and edits insurance coverage, bills and statements to ensure accuracy. Uses assertive follow-up techniques with payers, providing information, corrections and problem resolution. Uses contract matrices to calculate reimbursement.
Additional Information
Department Name: Patient Financial Services
Job Status: Full time 40 hours per week,
Shift: Day, Monday to Friday. Hybrid
Duties & Responsibilities
- Assists internal and external customers to provide information and resolve issues.
- Follows up on assigned accounts and works to resolve billing, payment and contractual issues with payers in a manner that conforms to all federal, state and payer regulations and that elicits accurate and timely reimbursement from payers.
- Reviews, fixes and submist bills manually and electronically in a manner that conforms to all federal, state and payer regulations and that elicits accurate and timely reimbursement from payers.
- Takes phone calls from internal and external customers answering questions, taking payments and resolving issues.
- Send letters and statements to payers and patients.
- Processes denials.
Minimum Qualifications
- Degrees
- High School diploma or GED
- Area of Study
- Experience
- Minimum Experience Required:Two (2) years of progressively responsible experience in a health care setting.
- Equivalency
- Licenses & Certifications
- Additional Requirements
- Competency
Salary Information
Pay is dependent on applicant's relevant experience.
Hourly Range: $18.26 to $27.40
Benefits Information
Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.
As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.
Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.
EEO Statement
It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. 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. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.
Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.
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