Revenue Cycle Specialist II

Posted 21 Days Ago
Be an Early Applicant
81501, Grand Junction, CO, USA
In-Office
Mid level
Healthtech • Professional Services • Social Impact • Telehealth
The Role
Verifies benefits, explains EOBs, posts payments, pursues collections, resolves denials, administers coverage setups and write-offs, manages 270/271 transactions, and provides technical assistance as lead for commercial, Medicare, and Medicaid billing to minimize aged receivables.
Summary Generated by Built In

Health Solutions West is the Western slope’s largest behavioral health care organization, covering more than 23,000 square miles across 10 counties.  With over 250 employees in Western Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community.


POSITION: Revenue Cycle Specialist II

Location: Grand Junction, CO or Pueblo, CO

Benefits offered to Full-Time Employees:

  • Medical
  • Dental
  • Vision
  • Paid time off accrual and generous leave policy
  • 403(b) benefits with 6% company match

Remote Work: This role follows a hybrid schedule, with 2 days remote and 3 days onsite in the office each week.

 

Position Qualifications:

Associate’s degree in accounting or business-related field preferred; or High School Diploma with four (4) years’ experience required, preferably in health care accounts receivable setting.


Job purpose:


This position is responsible for benefits verification, explanation of benefits, collection, denial resolution and posting accounts to minimize aged receivables.  This position also administers coverage plan setups, write offs, 270/271 process, and provides technical assistance to staff. This is a lead position for all commercial, Medicare and Medicaid billing.


Knowledge, Skill & Ability (include materials and equipment directly used):


  • Must have ability to identify problems and provide suggestions for problem resolution in order to improve processes and/or work flow.
  • Must have good understanding of basic accounting principles.
  • Basic knowledge of CPT, HCPCS, ICD-10, DSM, with basic charge and payment posting systems.
  • Working knowledge of Windows based computer applications to include Microsoft Word, Microsoft Excel, Microsoft Outlook, and Internet access.
  • Ability to operate standard office equipment including computer keyboard, calculator, copy machine, fax and multi-line telephone.
  • Interpersonal and communication skills to develop and maintain effective working relationships with all internal and external customers.
  • Ability to organize and prioritize workload in a sometimes hectic environment with frequent interruptions.


Working Conditions/Physical Demands:



Employee must occasionally lift and/or move up to 25 pounds.  Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop.  Must have ability to sit for longer periods of time at a computer.  Employee must be able to travel between Health Solutions West sites.  May be exposed to stressful situations that involve enraged, distraught and/or intoxicated individuals with possible mental health conditions. Possible exposure to communicable disease.  The noise level in the work environment is usually moderate.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Must already be authorized to work in the US; sponsorships not available.


Skills Required

  • High School Diploma with four (4) years' experience (healthcare accounts receivable preferred)
  • Associate's degree in accounting or business-related field
  • Experience with benefits verification, explanation of benefits, collections, denial resolution, and account posting
  • Working knowledge of CPT, HCPCS, ICD-10, DSM, and charge/payment posting systems
  • Good understanding of basic accounting principles
  • Working knowledge of Microsoft Word, Excel, Outlook, Internet and Windows-based applications
  • Ability to operate standard office equipment (keyboard, calculator, copier, fax, multi-line phone)
  • Strong interpersonal and communication skills
  • Ability to organize and prioritize workload in a busy environment
  • Hybrid schedule: 2 days remote, 3 days onsite (must work in Grand Junction, CO or Pueblo, CO)
  • Ability to occasionally lift/move up to 25 pounds and travel between Health Solutions West sites
  • Must already be authorized to work in the US; sponsorships not available
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The Company
287 Employees
Year Founded: 1972

What We Do

Health Solutions West is a premier non-profit provider of behavioral health and substance use treatment in western Colorado. The organization serves individuals and families across the lifespan through outpatient care, crisis response, addiction recovery, and community-based programs. As the region's largest behavioral health organization, it provides inclusive and accessible care across 10 Western Slope counties, covering more than 23,000 square miles.

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