Job Description:
Essential Functions- Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.- Develops, implements and teaches new and evolving technologies. Communicates process and protocolto staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves billing/insurance issues and ensures compliance with departmental andgovernmental policies.- Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes. Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department's ability to meet its goals andobjective. Ensures coordination of services with other departments to promote the highest level ofefficiency and patient satisfaction.- Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development. With thesupport of the leadership team, writes and may deliver corrective action and/or coaching. Assists inupdating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presentsand documents staff meetings as required.- Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborateswith the department leadership team to resolve process issues or create new work flows to improve
performance. Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.- Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.- Performs other duties as assigned.Skills- Operations Management- Leadership- Human Resources- Regulatory Requirements- Workflow Process- Communication- Insurance Processing and Issues- Medical Terminology- Claims Processing- Collaboration- Time Management- Team Building
Essential Functions
Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required.
Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies.
Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department's ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction.
Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required.
Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
Performs other duties as assigned.
We are committed to offering flexible work options where approved and state d in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following state s: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, Washington.
Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.
Skills
Operations Management
Leadership
Human Resources
Regulatory Requirements
Workflow Process
Communication
Insurance Processing and Issues
Medical Terminology
Claims Processing
Collaboration
Time Management
Team Building
Qualifications
High School Diploma or Equivalent is required.
Three (3) years of experience in back-end revenue cycle is required
One (1) year of team lead or supervisory experience required
Five (5) years of experience in back-end revenue cycle experiences preferred
Physical Requirements
Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
Frequent interactions with customers who require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
Hybrid position, associate must be able to commute to the office to support clerical team when needed.
Location:
Peaks Regional Office
Work City:
Broomfield
Work State:
Colorado
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$25.39 - $40.00
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 (https://intermountainhealthcare.org/careers/benefits) .
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.
