Billing Auditor

Job not on LinkedIn

🔥 58 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $20 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Valley View

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1955

🏥 Healthcare

🤝 Non-profit

🧘 Wellness

Healthcare • Non-profit • Wellness

Valley View is a nonprofit community hospital and regional health system based in Glenwood Springs, Colorado, founded in 1955. It operates a 78-bed main hospital on a 21-acre medical campus (CMS 5-star rated) and multiple clinics in surrounding communities, offering comprehensive acute, surgical, specialty, rehabilitation, behavioral health, and outpatient services. Valley View emphasizes patient-centered care, community outreach, health education and wellness programs, and aims to make advanced medical services accessible locally.

📋 Description

• Coordinate Commercial billing, ensuring clean claims are sent out. • Demonstrate extensive methodology and knowledge to produce accurate UB04 and 1504 forms. • Deal with billing issues in a professional manner in order to resolve balances and obtain financial goals of the department. • Process re-bills as necessary. • Validate claims on SSI. • Ensure that claims are sent out with appropriate information such as authorizations and correct patient information. • Maintain accurate account information at all times. • Make necessary corrections to accounts for proper billing. • Ensure billing is done in a timely manner by monitoring reports generated by billing system. • Process the Medicaid RA for adjustments. • Re-bill insurance companies when needed. • Timely prepare and bill secondary payer accounts. • Research and resolve late charge/credits for accuracy and re-bill. • Document each account to reflect action taken and when additional action is scheduled. • Act as a liaison and coordinate needed documentation between payer, medical records, review organizations, manager care provider, physician's office and ancillary departments. • Coordinate with system operations department to discuss processing problems and resolutions. • Monitor rejection reports and resolve issues. • Provide feedback of issues and trends to improve processes. • Ensure claims are received by the payers. • Cover the duties of the other billers (Medicare and Medicaid) when needed.

🎯 Requirements

• Education: High School graduate or equivalent required. • Experience: 1-3 years of healthcare business office experience required. • Organizational experience required. • Skills: Computer skills, Meditech, SSI, Optical Storage System, PC, Windows Software. • Read/comprehend written instructions. • Follow verbal instructions. • Payer billing requirements compliance. • Requirement: Good credit rating required.

🏖️ Benefits

• Medical, Dental and Vision coverage including coverage for eligible dependents • Employer paid basic life coverage with buy-up coverage options • Flexible Spending Account (FSA) for health care and dependent care. • Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), Paid Sick/Bereavement Leave under Colorado Healthy Families and Workplaces Act (HFWA), leaves of absence. • Tuition Assistance Available • Retirement Plan 401(a) • Retirement Plan 403(b) plans with employer matching contributions. • Employee Assistance Program • Employee discount on Valley View Medical Services • Employee voluntary benefits such as Discounted RFTA bus passes, discounted gym memberships, Corporate Ski passes, free car seat for new Valley View babies born or adopted by Valley View employee(s) • Free Use of Sunlight and Aspen SkiCo day passes, based on availability. • Loan Repayment: Valley View is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program!