Colorado Retina Associates is the premier retina practice of the Rocky Mountain region. Come join a team that strives to provide advanced care and cutting-edge therapies for our patients. Just as we aim to have top notch patient care we aim to take great care of our team members by providing competitive salary & benefits, continuing education and advancement programs, opportunity to work with the top-ranked retina specialists in the US and state-of-the-art equipment and retina treatment methods.

Colorado Retina Associates is complying with the Covid-19 Vaccine Mandate. Colorado Retina requires employees to be vaccinated as a condition of employment, subject to accommodation. All candidates, upon hire, will be required to provide proof of vaccination or have a valid accommodation.

Pay Range: $22.14 - 35.42

Job Type: Full Time - Hybrid

Position Summary:

The Full Cycle Biller is responsible for resolution of outstanding A/R including correcting billing errors, refiling claims, appealing denials, and posting approved adjustments. The position requires accuracy, thoroughness, and a good understanding of insurance procedures for referrals, authorizations, copays, and deductibles, as well as Local Coverage Determinations and/or National Coverage Determinations, payer reimbursement guidelines, payer portals, and appeals processes. The Full Cycle Biller will respond to patient balance inquiries, provide patient education (insurance coverage and balances as needed), contact patients about outstanding balances, set payment plans, accept & process payments and discuss financial hardship discounts as appropriate. Work is multi-task based with heavy phone and/or online payer portal activity. Must be able to communicate effectively with patients, physicians, and co-workers.

Job Duties:

• Demonstrate thorough understanding of insurance regulations, guidelines, benefits, coverage, and reimbursement policies
• Demonstrate thorough understanding of patient financial responsibilities and Fair Debt Collections guidelines
• Review and follow-up on unpaid balances, appeal denials and manage other insurance communications
• Post appropriate adjustments and approved write-offs
• Review and work patient and insurance credit balances
• Contact patients by phone, patient portal, text and email about past due balances
• Initiate payment plans with patients when necessary
• Initiate Financial Hardship application process with patients when necessary
• Answer patient billing questions by phone, email and through patient portal
• Meet productivity measures assigned by the Supervisor
• Communicate to management, peers and providers (as necessary) all payer changes in reimbursement and coverage
• Maintain current knowledge of proper coding and billing procedures.
• Communicate effectively with physicians, administration, other personnel and patients.
• Ability to work independently without direct supervision.
• Attend all required meetings/seminars
• Other duties as assigned.

Job Requirements

• High School Diploma or GED
• Three years’ recent experience in Medical A/R follow-up; five years’ experience is preferred.
• Strong understanding of commercial health insurance, and federal and state coverage
• Understanding of medical terminology, claims processing guidelines, and federal insurance regulations is required
• EMR/PM experience is required, experience with NextGen preferred.
• Moderate Excel skills
• Good verbal and written communication skills

Certificates & Licenses:

• Medical billing and/or coding certification preferred

Our benefits include:

• Competitive salary
• Safe harbor/profit sharing plan
• Full medical, dental, and vision insurance eligible
• Pet insurance
• Legal, life, accident, disability, and hospitalization insurance