Assists in all department activities such as; tasks assigned to work A/R for various payers and a variety of hospital/clinic services, following up on denials, managing multiple assigned tasks to support billing and A/R, completion of authorization requests, reviewing accounts for quality registrations and insurance verification, managing account payments/adjustments and submission of appeals. Ensures all paper and electronic claims are submitted in a timely and accurate manner in compliance with all payer regulations. This Representative must be able to multi-task, prioritize as necessary to timely resolve accounts for payment, and maintain a high level of professionalism when communicating with payers and patients on a daily basis. Representative must demonstrate proficient use of web-based client and payer portals along with notation databases. This position requires the use of several software systems, the ability to problem solve, and be detail-oriented.

Education: Experience or training in healthcare office setting and customer relations. Must possess a high school diploma or equivalent. Certified Biller preferred.

Experience: Minimum 5 years’ experience directly related to Registration, Billing and A/R management in a hospital setting. Minimum 2 years direct experience working in a Critical Access Hospital (CAH) preferred. Working knowledge and understanding of healthcare A/R management, authorizations, insurance verification, bill types, HCFA 1500 and UB04 claim forms, and claim clearinghouse systems. Excellent knowledge and understanding of ICD10, CPT and HCPCS coding. Knowledge of patient billing terminology, collections and various payers billing rules and regulations. Ability to use HIS/EHR systems and use of internet, Microsoft windows (Excel, Outlook, Word). Strong understanding of modifiers and Correct Coding Initiative rules.

Licenses/Certification: Certified Biller or HFMA Certification preferred

Compensation: $21.36 - $27.76/hr, DOE

Benefits Eligibility

Medical, dental, vision, health care FSA, and dependent care FSA: All active employees working 40 or more hours per pay period are eligible for benefits on the first of the month following date of hire. PRN staff are not initially eligible for benefits, and GVH follows all Affordable Health Care Act Eligibility guidelines.

https://jobs.gunnisonvalleyhealth.org/about-us-and-benefits