Mountain View Hospital · 2 months ago
BUSINESS OFFICE - CONTRACT MANAGEMENT CLERK
Idaho Falls, ID
Full-time, Contract
Onsite
Mid Level
4+ years expMountain View Hospital is looking for a Contract Management Clerk to join their team. The role involves insurance follow-up, appeals, and contract management to ensure claims are processed and paid according to hospital contracts with payors.
Health CareHealth DiagnosticsHospital
Responsibilities
Responsible for the timely follow-up and collections of all billed Commercial insurance accounts by running appropriate reports, utilizing online tools, and making contact with payers over the phone or online
Must be familiar with legal jargon and contract wording and have the ability to apply that language to hospital encounters
Attention to detail and organization a must
Updates the patient account record to reflect the current actions that had been taken
Reviews EOB’s/payments and verifies that accounts are being paid according to contract
Sorts/files correspondence and maintains items in date order. Responsible to work and follow-up on reminders daily
Processes non-clinical appeals on accounts when appropriate. Sends requests to medical records as needed
Responsible for rebilling claims when required. Responsible for contacting responsible party if additional information is requested for billing purposes. Responsible for notifying insured of insurance denials
Processes denials from insurance EOB’s weekly
Identifies problem accounts as well as claims processing delays and escalates to management
Qualification
Required
High school diploma or general education degree (GED)
Minimum four years office experience or current employment in a related field preferred
Ability to use hospital information system, and operate basic computer functions and software
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to write routine reports and correspondence
Ability to speak effectively before groups of customers or employees of the organization
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Ability to compute rate, ratio, and percentages and to draw and interpret bar graphs
Ability to apply common sense to carry out instructions furnished in written, oral, or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Preferred
CPC Certification is beneficial
Familiar with billing forms UB04 and HCFA 1500 preferred
Benefits
Medical, Dental and Vision Insurance
Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
Retirement Plans (401K with up to 6% match)
Earned Quarterly Bonus Program
Education Reimbursement Program
Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
Company
Mountain View Hospital
Mountain View Hospital focuses on the well-being of the community with inpatient, outpatient, diagnostic and rehabilitative service.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$3.4M2025-12-08Undisclosed· $3.4M
Leadership Team
Troy Brumfield
Chief Medical Officer
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