Insurance/Billing Follow-Up Specialist (Remote)

Responsible for billing and resolving primary and secondary claims for a variety of hospital services. Ensures all paper and electronic claims are submitted in a timely and accurate manner in compliance with all payer regulations. Follow-up on unpaid claims by contacting insurance companies, patients, and/or employers to resolve obstacles preventing account resolution and payment. This Representative must be able to multi-task, prioritize as necessary to timely resolve accounts for payment, and maintain a high level of professionalism when communicating with payers and patients on a daily basis. In addition to drafting appeals, Representatives must demonstrate proficient use of web-based client payer portals along with notation databases. This position requires the use of several software systems, the ability to problem solve, and be detail-oriented.

Education: Must possess a high school diploma or equivalent.

Experience: Requires the aptitude to work cooperatively with other employees, departments and the public. Ability to prioritize work, strong organization skills and meet deadlines. Capable of handling multiple tasks simultaneously and concentration in a busy environment. Skill in using common computer system and business software is necessary. Previous experience or training in a healthcare office setting preferred.

Licenses/Certification: Certified Biller or HFMA Certification preferred.

Physical Requirements

Occasionally (0-33%) - Standing, change position, reaching, reach across midline, crouching/squatting, stooping, stairs, lifting (0-20lbs), carrying (0-20 lbs), pushing/pulling (20-50lbs)

Frequently – (34-66%) Walking, sitting, handling, fingering

Continuously – (67-100%) See with corrective eyewear, hear clearly with assistance

Shift - Day

Schedule - Monday - Friday 8am - 5pm

Status - FT

Compensation: $18.00 - $23.40/hr, depending on experience.

There is no deadline to apply for this position; we are accepting applications on an ongoing basis until a finalist is selected.

Your total compensation goes beyond the number on your paycheck. Gunnison Valley Health provides generous leave, health plans and retirement contributions that add to your bottom line.

Benefits Eligibility

Medical, dental, vision, health care FSA, dependent care FSA, and Lifestyle Spending Account: All active employees working 40 or more hours per pay period in a Full Time or Part Time position are eligible for benefits on the first of the month after hire.

Full Time staff are automatically enrolled in 401A plan as of date of hire.

Life and AD&D insurance: All active employees working 40 or more hours per pay period are eligible for benefits on the first of the month after hire date.

Short-term and long-term disability: All active employees working 60 or more hours per pay period are eligible for benefits on the first of the month after hire date.

Work Environment

This position can be fast paced at times, and slow paced at times, and candidates should be able to perform in both scenarios.