Revenue Cycle Specialist (Remote)

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. Our 3,500 University of Colorado School of Medicine physicians and advanced practice providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services. CU Medicine also delivers business operations and administrative services to support patients and providers. Our primary and specialty care clinics, along with our partnerships with the top hospitals and facilities in Colorado, provide patients with personalized care in their communities.
This job offers a primarily remote work structure with on-site work required as dictated by the needs of the job.
The Revenue Cycle Specialist (SWAT Specialist) will assist with all processes within the Registration and Revenue Operations departments. The individual in this position must be self-driven, adaptable, and will fill in for various roles during extended absences or due to increased staffing needs. The SWAT Specialist is expected to apply existing knowledge to quickly learn new processes and procedures and be able to work independently, take initiative and adapt to working within various groups as a solid team-player. The successful candidate will adapt quickly and easily to changes in assignments and is expected to carefully track resolution of all special projects and regularly report status back to management.
Duties may include but are not limited to:

• Become fully proficient in all workflows within Registration and Revenue Operations.
• Projects assigned may last one day or several weeks, depending on specific need of the department.
• Perform tasks ranging from data entry to assignments involving critical thinking and research.
• Cash Management – review, record, and batch deposits received through cash room and work with clinics to resolve discrepancies.
• Payment posting of both insurance and patient payments (electronic and manual).
• Research and resolve missing checks, missing EOBs and other posting issues.
• Review credit balances, refund requests, overpayments, underpayments and resolve or appeal as necessary.
• Verify eligibility via multiple sources.
• Confirm, update, and/or edit patient demographic and insurance information.
• Perform all Registration Coordinator level tasks including manual registration, data entry, TES and claim edits and eligibility workflows.
• Complete accurate cost estimate for patients and CU Medicine partners.
• Assist payment review team with underpayment appeals.
• Work within the pre-paid services work view to accurately allocate pre-paid payments and issue refunds when appropriate.
• Perform other duties as assigned.

Requires a high school diploma and a minimum of 3 years’ experience in a high volume, fast paced medical billing environment; bachelor’s degree in related field is a plus. Must have experience in handling credit balance accounts and refund requests. Prior experience with other areas of Revenue Cycle such as payment posting and accounts receivable resolution is highly preferred. Demonstrated understanding and the ability to apply contract language to billing is desired. Strong grasp of basic accounting principles is required. Intermediate PC software experience is essential. Must demonstrate advanced verbal and written communication skills. It is essential that the person filling this role be flexible with not only their assignments but with the hours they work. Various projects may require overtime and the person filling this role should be willing when needed.
TO APPLY FOR THIS POSITION, please visit our website at www.cumedicine.us and reference job #767. All applications MUST be submitted via our website.
CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. We are an equal opportunity employer.
The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.
A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.
CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. Find information about our benefits here
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.
CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first)

Health insurance