Job Description

Job Description

Job Description

Full-Time
Non-Exempt
Salary : $20.00 -$25.00
Reports to: Billing & Collections Supervisor
Location: Administrative Building (Louisville) – Hybrid/Remote with Manager’s discretion

REMOTE REQUIREMENTS:

• Internet minimum recommendation:
  1. 20Mb/s down, 10Mb/s up, less than 10ms latency. Comcast offers up to 1000Mb/s down, 40Mb/s up, less than 5ms latency.
• Computer:
  1. Windows 10 or 11 with i5 processor or better, 8GB+ RAM or better, 1920x1080 resolution screen, ability to run an extra monitor if you wish.
  2. Gotchas: 4K(3840x2160) may be too small of a font for some of the applications. You will have to play with your settings to read some parts of Intergy.
  3. Mac with Sequoia OS or newer.
  4. Virus protection on your computer. Recommend Sentinel One or Sophos.

*** No Chromebooks, Windows 7, old Mac OS, etc. Computers must be able to update to stay secure.

About Us: Medamorph is a Management Services Organization providing services to Gastroenterology of the Rockies and its affiliates including joint-ventured endoscopy centers with Boulder Community Health and Intermountain Health. We are currently seeking an experienced and detail-oriented Patient Account Rep. to join our dedicated team.

The Patient Account Rep will investigate outstanding and incorrectly adjudicated insurance claims and take appropriate action needed for proper and timely processing. This position plays a vital role in the revenue cycle process by performing claim follow up duties and providing excellent customer service to ensure patient and client satisfaction.

Essential Duties and Responsibilities:

• Review Explanation of Benefits carefully to develop a complete understanding of each claim scenario. Perform necessary steps to resolve issues.
• Conduct appropriate research to determine reason for denial or incorrect processing. Prepare appeals as needed to have claims reprocessed.
• Review outstanding insurance claims. Make appropriate calls and/or check websites for claim status and act as needed.
• Submit documents for primary and/or secondary claims on a timely basis. Ensure the documents processed are accurate to facilitate quick processing and payment.
• Review Unapplied Credit Reports for patient and insurance overpayments. Apply credits when applicable or submit refund requests to management for approval.
• Answer inbound calls to address billing concerns
• Note patient accounts to ensure accurate records are kept of activity on each account.
• Perform other duties as assigned by management or physicians.

Knowledge, Skills, and Abilities:

• Maintains up-to-date knowledge levels in assigned areas of responsibility.
• Accepts feedback and takes action to enhance strengths and improve areas that need attention.
• Accepts accountability for the achievement of assigned departmental and individual goals and objectives.
• Maintains confidentiality of all company and patient information.
• Demonstrates positive support for the mission and values of the company.

Minimum Qualifications:

• High School Diploma or GED
• 2 years of experience in medical billing and collections
• Excellent verbal and written communications, including telephone skills.
• Ability to interact positively and professionally with peers, patients, management, physicians, and outside company representatives in fast paced and stressful situations.
• Intermediate computer skills in Word, Excel, and medical industry software, (Intergy preferred).

Physical Demands and Work Environment:

• Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards. Must have the ability to walk short distances.
• Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

Equal Opportunity Employer

Please note: We are aligning with our hospital partners and require COVID-19 vaccinations for all employees or a qualified exemption.

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