About the role
Full-Time M-F 8:00AM -4:30PM
Follows up on all assigned accounts within the billing systems in accordance with pre-established goals. Initiates proactive measures that result in account resolution. Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
Ensures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility Writes appropriate notes in the system for every account, including any action taken. Meets daily and weekly productivity standards.
Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties. Initiates contact with patient, as necessary. Initiates recommendations and action plans for resolving accounts.
Evaluates accounts to determine any write-offs or corrections required, including duplicate charges. Handles in a professional and confidential manner all correspondence, documentation, and files. Attempts to locate patient/guarantor through direct contact, letter, or other means.
Receives and answers inquiries or complaints concerning self-pay accounts; gathers information for timely resolution of issues. Speaks with patient/guarantor to find third-party sponsorship, settlement, or to begin charity process. Prepares correspondence to patient/guarantor, as necessary.
Establishes payment arrangements according to preset guidelines. Elevates issues, as appropriate, to the supervisor. Submits claims and/or statements for payments.
Prepares refund requests for any monies due to patient or insurance company. Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal. Prepares write-offs requests for denied claims which cannot be appealed.
Investigates the possibility of Medicaid linkage.
High school diploma or equivalent. One to three years related experience and/or training preferred.
$19.00 – $21.85 per hour, depending on education and experience. Discretionary bonuses, relocation expenses, merit increase, market adjustments, recognition bonuses, and other forms of discretionary compensation may be available.
Medical, dental, vision insurance Life Insurance Free Parking Paid time off Education assistance 403(b) with employer matching Wellness Program Additional benefits based on employment status Additional Information: Relocation: Must relocate to Grand Junction, CO 81505 before starting work. Work Location: In-person/onsite Application Deadline: Posting will remain open until July 31,2026 Be Extraordinary. Join Us Today!
Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status.
Community Hospital does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization. Education High School (required)