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Intermountain Health

Patient Account Associate II Representative

Posted 3 days ago
$19.41 - $28.14 per hour
0-2 years experience
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AI Summary

The associate is responsible for managing patient accounts, including validating payment details, interpreting payer contracts, and resolving complex billing issues. They also perform account adjustments, initiate refunds or recoupments, and provide training to other team members.

Job Description:

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington.   Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. ” 


Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position. 


Essential Functions

  • Identifies appropriate payment details and saves back-up as appropriate.
  • Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution.
  • Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts.
  • Initiates payer recoupments, payer refunds, and patients refunds where applicable.  Follows up in accordance with procedures and policies with an overall goal of account resolution.
  • Abel to navigate various payer claim portals and understand payer functionality.
  • Interacting with others by effectively communicating both orally and in writing.
  • Operate computers and other office equipment, as well as various computer software’s.
  • See and read computer monitors and documents in English.
  • Train new and existing associates.

Skills

  • Recognizing true overpayments from false credits
  • Advanced knowledge of revenue cycle and health insurance payers
  • Reading and Understanding Payer Contracts
  • Advanced knowledge of Coordination of Benefits
  • Advanced knowledge of reading EOB
  • Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner
  • Advanced knowledge of Medical Terminology


Qualifications

    • High School diploma or equivalent, required
    • Minimum of one (1) year of full cycle medical billing experience, required
    • Knowledge of CPT (procedures), ICD-10 (diagnoses), and modifiers, required
    • Ability to read and understand Explanation of Benefits (EOB's) or interpret denials, required
    • Experience with insurance claim appeals, required
    • Excellent computer skills (including Microsoft Office applications), required- Familiarity with electronic remittances, required

Physical Requirements

  • Interact with others by effectively communicating, both orally and in writing
  • Operate computers and other office equipment requiring the ability to move fingers and hands
  • See and read computer monitors and documents
  • Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment

May require lifting and transporting objects and office supplies, bending, kneeling and reaching

Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$19.41 - $28.14

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.


Learn more about our comprehensive benefits package here.


By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.


Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.


At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.


All positions subject to close without notice.



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