Revenue Cycle Specialist - Customer Service/Call Center - Must Reside in Colorado

Respect | Belonging | Accountability | Transparency

• Completes claims submissions, performs review of accounts, ensure that work performed is accurate and complete. Consistently documents contact with debtor/insurance and/or any other content to the account using appropriate methods. Reviews account information and make necessary changes. Researches, corrects, and resubmits claims within the mandated time frames to avoid loss of revenue. Initiates collections by contacting third party payer/debtor or designated representative. If assigned to cash applications assures that payments are posted and reconciled timely (40%)
• Returns assignments within the appropriate timeframe and with suggestions for resolution or process improvement. Completes worklists as assigned. Work product is consistently of high quality. Staff QA’d weekly and must be at 97% or higher. (20%)
• Uses billing systems efficiently and appropriately. Follows and understands actions needed to correctly effect patient accounts with the Siemens Invision system. Utilizes the imaging system to perform needed account research; able to scan, import and export if needed. Uses eligibility software to ensure the correct payer is billed. (15%)
• Processes accounts transactions accurately that involve transfer of charges, combining accounts, or manual adjustments. (10%)
• Processes and responds to incoming correspondence from insurance carriers, patients, and other Denver Health departments to move the accounts toward resolution. (10%)
• Identifies and communications existing or potential problems to supervisor in a timely manner. Offers constructive actions in problem resolution. (5%)

• High School Diploma or GED Required
• Associate's Degree Preferred

• 1-3 years Experience in a hospital or clinic revenue cycle setting Required
• 1-3 years

• Knowledge and understanding of insurance benefit plans and explanation of benefits.
• Have current knowledge of regulatory requirements and codes.
• Skill sets to include 10-key by touch, typing a minimum of 25 words per minute (WPM) and, basic skills in word processing and spreadsheet applications.
• Ability to prioritize work activities with minimal supervision, in an individual and team setting.
• Strong written and verbal communication skills, analytical thinking, high level of computer accuracy, and organization and problem solving skills.
• Ability to utilize various software applications and information systems to perform work processes.
• Ability to adapt easily to change.
• Ability to read and understand the payer explanation of payment

Denver Health is an integrated, high-quality academic healthcare system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.

As Colorado’s primary, and essential, safety-net healthcare system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.