Patient Account Associate II Representative

Fully Remote

Peaks Regional Office

Full time

R183939

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.

• 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.

• Recognizing true over payments 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

• 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

• 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.

Peaks Regional Office

Broomfield

Colorado

40

The hourly range for this position is listed below. Actual hourly…