Patient Account Associate, Claims and EDI

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🔥 0 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $19 - $27 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧑‍💼 Account Executive

🚫👨‍🎓 No degree required

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IMH

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2007

🤝 B2B

🏪 Marketplace

👥 B2C

B2B • Marketplace • B2C

IMH is the Groupe IMA entity providing end-to-end housing assistance and post-claim services across France. It operates 24/7 emergency call-taking and rapid-response interventions for home incidents (fires, water damage, electrical faults, locksmithing), offers remote damage expertise and cost estimation, and manages repair-in-kind through a national network of vetted contractors. IMH also runs digital platforms to support project estimation and paid home-service offerings, coordinates large-scale catastrophe responses, and connects insurers, beneficiaries and service providers via its accredited prestataire network.

📋 Description

• Responsible for processing all claims, electronic and paper, within EPIC and outside the clearinghouse. • Monitor unbilled claims, maintaining and updating medical coverage. • Process all claims in a timely manner through resolution of patient account work queues to ensure medical coverage is accurately added to all appropriate accounts. • Processes and correct registration information, coding, status level of care, coverage and coordination of benefits through appropriate processes in the system. • Assists in monitoring unbilled outstanding claims. • Works with Clearinghouse to resolve system or edit issues. • Research errors identified by payers and works with other departments to correct information on claims. • Acts as Subject Matter Expert (SME) for team. • Supports onboarding of team members and cross training efforts. • Works with members of IT team to test new connections or troubleshoot issues. • Supports supervisor in coordinating with clearinghouse vendors and payer EDI teams. • Meets department’s productivity and quality goals in high volume processing environment. • Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.

🎯 Requirements

• High School Diploma or equivalent (GED) • One (1) year of work experience in high volume processing position or medical billing office or Billing/Coding certification/training is required • Knowledge of Medicaid and Medicare billing regulations • Knowledge of Revenue and ICD coding language • Billing & Coding Certified • Two (2) years of experience in medical processing and previous experience in EPIC medical billing software preferred.

🏖️ Benefits

• 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.