Billing Specialist - Vail Health

Job Details

To us, it's about living life to the fullest while serving our patients, teammates, neighbors and friends. We are dedicated and passionate in everything we do, seeking challenge and appreciating the routes that got us here. Whether our path is clinical or not, we all came to find balance and meaning in our lives within the work we are passionate about and the adventures we live.

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail.

In addition to the hospital, Vail Health has many access points including:

* Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopedic partners at The Steadman Clinic and Vail-Summit Orthopedics & Neurosurgery.

* Vail Health also owns interest in multiple joint venture ambulatory surgery centers (ASCs) throughout the region.

* Colorado Mountain Medical, Beaver Creek Medical Center, urgent care clinics in Vail, Dillon, Avon and Eagle, Edwards medical campus and Eagle Healthcare Center.

* The Shaw Cancer Center and Sonnenalp Breast Center are the region's only fully accredited cancer treatment center and comprehensive breast center.

* Vail Health is also leading the way in serving our communities' behavioral health needs with outpatient behavioral health services at the Edwards Community Health Campus, and the Precourt Healing Center, a 28-bed in-patient behavioral health facility, opening in 2025.

About the opportunity:

Responsible for preparing, reviewing, and transmitting electronic and paper claims using billing software. Posts charges and submits claims in a timely manner. Also, resolves rejections, submits re-bills, and performs collection activities including but not limited to insurance follow-up. Assists with resolving unpaid self-pay and patient residual accounts. Completes required reports and assists with special projects as assigned. Backs up other front office positions as needed

What you will do:

* Uses coding reports to post charges and produce claims for electronic and/or paper filing with insurance payers (Government, Workers Compensation & Commercial).

* Researches and enters pricing for implants and unlisted procedures.

* Demonstrates knowledge of facility billing requirements including CPT codes, HCPCS codes and ICD-10 codes.

* Applies knowledge of insurance contracts and medical procedure reimbursement.

* Coordinates with external coding contractor to ensure that all cases are coded and/or billed correctly.

* Work clearinghouse reports to identify missing and rejected claims.

* Performs claims follow-up by working aging and denials.

* Coordinates resubmission of claims when necessary.

* Submits appeals with supporting documentation when warranted.

* Identifies denial trends and works with management and payers to resolve issues.

* Utilizes skills necessary to meet collection goals and reduce A/R days.

* Investigates insurance overpayments and submits refund requests to department manager for approval.

* Complete required reports and assist with special projects as assigned.

* On an as needed basis will assist and back-up other front office staff positions.

* Role models the principals of a Just Culture and Organizational Values.

* Perform other duties as assigned. Must be HIPAA compliant.

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

What you will need:

Experience:

* Associates degree, technical training or minimum one year related experience required. Medical terminology helpful. Knowledge of ICD-10 and CPT coding desirable.

License(s):

* N/A

Certification(s):

* N/A

Computer / Typing:

* Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Must have working knowledge of the English language, including reading, writing, and speaking English.

Education:

* College degree with emphasis in business and/or health sciences preferred

Application Close Date: March 11th,2024

Benefits at Vail Health (Full and Part Time) Include:

* Competitive Wages & Family Benefits:

* Competitive wages

* Parental leave (4 weeks paid)

* Housing programs

* Childcare reimbursement

* Comprehensive Health Benefits:

* Medical

* Dental

* Vision

* Educational Programs:

* Tuition Assistance

* Existing Student Loan Repayment

* Specialty Certification Reimbursement

* Annual Supplemental Educational Funds

* Paid Time Off:

* Up to five weeks in your first year of employment and continues to grow each year.

* Retirement & Supplemental Insurance:

* 403(b) Retirement plan with immediate matching

* Life insurance

* Short and long-term disability

* Recreation Benefits, Wellness & More:

* Up to $1,000 annual wellbeing reimbursement

* Recreation discounts

* Pet insurance

Pay is based upon relevant education and experience per hour.

Hourly Pay:

$21.32-$25.27 USD

Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.

Relocation and housing assistance may be available.