Claims Processing Clerk

Claims Processing Clerk – FT, Days – Grand River Health – Rifle, CO

At Grand River, we are more than a hospital – we are neighbors taking care of neighbors proudly serving residents of Western Colorado and beyond. Our supportive culture is built on respect
, friendliness
, and a shared commitment to exceptional patient care
.

• Serve as a member of the Patient Financial Services team at Grand River Health Main Campus.
• Work closely with clinic coders to input and transmit claims, print workers’ compensation claims, and handle statements and rejections in the Allscripts system.
• Follow up on rejections to correct account information and manage clinic statements and client billing.
• Close out daily business activities across multiple systems and generate weekly and monthly reports, including claim rejection and late charge reports.
• Enter charges, post payments, and monitor age trial balances for hospital and clinics; generate bills for various agencies.
• Support programs such as Women’s Wellness/Komen by posting payments, following up, and distributing reports.
• Upload explanation of benefits for electronic funds transfers and act as site administrator for vendor communications.
• Review and adjust balances for American Health Tech (AHT) items and self-pay patient records; handle Care Center payments and month-end close processes.
• Balance deposits from all GRHD facilities and post clinic payments.
• Perform clerical duties including responding to inquiries, processing mail, preparing reports, scanning documents, and maintaining equipment such as folding machines and postage meters.

• High School Diploma or equivalent preferred.
• Two years or relevant work experience in a similar position preferred.

• Pay Range: $19.50 – $27.34 hour (based on experience)
• Shift Differentials:$2–$4/hour for nights and weekends
• Comprehensive Benefits:Medical, dental, vision, PTO from day one, extended illness time, retirement plan with match, and more
• Perks:Payroll deductions for hot springs, gyms, ski passes, pet insurance, access to outdoor recreation, and more!

Compensation may vary outside this range depending on a number of factors, including a candidate’s qualifications, skills, competencies and experience.

Position is open until filled unless posted otherwise.

As a special taxing district, we are accountable to our community, allowing us to prioritize exceptional patient-centered care over financial bottom lines. Our main hospital campus is located in picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population.

To improve the health and well-being of the communities we serve.

To be our communities’ first choice in quality healthcare.