Accounts Receivable Specialist

Job Description: This position is responsible for follow up on all outstanding A/R; this includes both commercial and government insurance payers, self-pay accounts, and resolution of denials. This position conducts follow up process activities through phone calls, online processing, and written correspondence, and must be able to communicate effectively with payer representatives to support denial resolutions. Schedule - Monday - Friday 7:00am to 3:30pm Responsible for quality and continuous improvement within the job scope Responsible for all actions/responsibilities as described in Company controlled documentation for this position Contributes to and supports the corporation’s quality initiatives by planning, communicating, and encouraging team and individual contributions toward the Corporation’s quality improvement efforts Review and interpreting insurance explanation of benefits (EOB) documents Check insurance payments for accuracy and compliance with contracts Follow up with the insurance company on unpaid or rejected claims. Resolve issue and re-submit claims Respond to inquiries from insurance companies, patients and providers  Ability to look up ICD diagnosis and CPT treatment codes from various resources Be able to provide excellent communication, time management, and organizational skills Responsible to follow-up with correspondence and telephone inquiries from third party payers and patients Reviews follow-up reports and takes appropriate action to achieve prompt resolution of open accounts Notifies supervisor of problems arising from erroneous codes, missing information, error/edit messages, or any data payment entry procedures or patient inquiries not covered by specific guidelines and procedures.  Reviews assigned insurance claims for accuracy and information Demonstrate ability to be flexible, work collaboratively with internal and external departments, as applicable to accomplish the requirements of the department Demonstrated service and success in teamwork and consistent high productivity and quality Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the HC Answers patient telephone inquiries and resolves patient problems and billing disputes, updates patient accounts, and takes appropriate action to achieve prompt resolution of open accounts. Notifies supervisor of problems arising from erroneous codes, missing information, error/edit messages, or any data or payment entry procedures or patient inquiries not covered by specific guidelines and procedures. Minimum Qualifications 1 – 3 years of experience in medical billing Knowledge of insurance guidelines for commercial health plans including Medicare, state Medicaid and workers comp. Good understanding of current Medicare Compliance and HIPAA regulations Knowledge in Health Insurance reimbursement Experience in Microsoft Office: Word, Excel, Outlook Knowledge in medical billing software Strong Customer Services Skills Knowledge of medical terminology Preferred Qualifications Knowledge of CPT-4, ICD-10 coding is preferred Bilingual Spanish speaker Physical Requirements: Location: Nevada Central Office Work City: Las Vegas Work State: Nevada Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $17.85 - $24.26 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a 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. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice. Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here. Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details. Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email recruitment@imail.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match. Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100 learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!

Salary : $18 - $24