Job Description:

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
• Payment Handling
• Effective written and verbal communication
• Assist Leadership with mentoring peers as well as new hires.
• Computer Literacy
• Time Management
• HIPAA Regulations

Qualifications

• High School Diploma or equivalent (GED) required
• One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required
• Knowledge of Medicaid and Medicare billing regulations required
• Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred

Physical Requirements

• Operate computers and other office equipment requiring the ability to move fingers and hands.
• 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.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

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

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.