STRIDE Community Health Center ยท 3 days ago
Revenue Cycle Specialist
Denver, CO
Full-time
Hybrid
New Grad, Entry Level
$22/hr - $26/hrSTRIDE Community Health Center is dedicated to making a lasting impact on the lives of patients and communities. The Revenue Cycle Specialist is responsible for billing and collecting payments for services, ensuring timely and accurate coding, billing, and resolving claim denials.
CommunitiesHealth CareHospital
Responsibilities
Resolve issues with incomplete and/or inaccurate patient registration
Verify charges were entered correctly and update as needed
Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module
Review and assess adjudicated claims for timely and proper payment of outstanding balances
Research, correct and resubmit or reprocess unpaid claims as necessary
Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments
Research and resolve denials and underpayments with insurance carriers
Submit third party payor appeals and reconsideration requests in a timely manner
Meet department and/or organization productivity goals/benchmarks
Post third party payors(s), government, grant funded and patient payments
Respond to patient inquiries regarding billings
Assist other staff as needed to keep department workload current
Maintain communication with all interested parties regarding patient account issues
Perform other duties as assigned
Qualification
Required
High school diploma or GED
Ability to interact positively and build rapport with patients, coworkers and/or external contacts
Ability to work independently and organize work in a manner that ensures accuracy and efficiency
Knowledge of medical electronic billing procedures and coding
Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDE's diverse patient population
Customer service skills, including the ability to diffuse upset patients
Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
Skill in using a variety of computer software including but not limited to the internet and MS Office products
Ability to handle sensitive information ethically and responsibly
Ability to protect the confidentiality of patients, employee and business information
Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize
Preferred
Pharmacy AR experience highly preferred
CPC Certification preferred
Bilingual Spanish is preferred
Benefits
Medical, dental and vision coverage
Paid time off and paid holidays
Health Savings account (HSA) and Flexible Spending accounts, including dependent care options.
401(K) with matching for eligible employees
Work-Life balance-No nights, no weekend and no major holidays
NHSC loan repayment assistance
Tuition reimbursement and continuing medical education assistance
Employee Assistance Program (EAP)
Employee discount programs on top local attractions
Competitive wages
Company
STRIDE Community Health Center
STRIDE Community Health Center is a nonprofit organization whose vision is individuals empowered to live the lives they want.
Founded in 1989
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Amelia Reinkensmeyer
Senior Human Resources Business Partner
Aza Fahed
Deputy Chief Medical Officer
Company data provided by crunchbase