Billing Auditor

Job Description:

• Coordinate Commercial billing and ensure clean claims are sent out
• Produce accurate UB04 and 1504 forms using extensive billing methodology and knowledge
• Resolve billing issues, balances, and departmental financial goals professionally
• Process re-bills as necessary
• Validate claims on SSI
• Ensure claims include authorizations and correct patient information
• Maintain accurate account information
• Correct accounts for proper billing
• Monitor billing-system reports to ensure timely billing
• Process Medicaid RA adjustments
• Re-bill insurance companies when needed
• Prepare and bill secondary payer accounts
• Research and resolve late charges and credits for accuracy and re-billing
• Document account actions and scheduled follow-up
• Coordinate documentation among payers, medical records, review organizations, managed care providers, physicians’ offices, and ancillary departments
• Coordinate with system operations on processing problems and resolutions
• Monitor rejection reports and resolve issues
• Provide feedback on issues and trends to improve processes
• Ensure claims are received by payers
• Cover Medicare and Medicaid biller duties when needed

Requirements:

• High School graduate or equivalent required
• 1-3 years of healthcare business office experience required
• Hospital billing or hospital claims follow-up experience required
• Organizational experience required
• Computer skills
• Experience with Meditech, SSI, Optical Storage System, PC, and Windows Software
• Ability to read and comprehend written instructions
• Ability to follow verbal instructions
• Compliance with payer billing requirements
• Good credit rating required
• Meditech/Epic experience preferred
• Applicants working from residences in Colorado preferred

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
• 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
• 401(a) Retirement Plan
• 403(b) plans with employer matching contributions
• Employee Assistance Program
• Employee discount on Valley View Medical Services
• Discounted RFTA bus passes
• Discounted gym memberships
• Corporate Ski passes
• Free car seat for new Valley View babies born or adopted by Valley View employees
• Free use of Sunlight and Aspen SkiCo day passes, based on availability
• Public Service Loan Forgiveness (PSLF) qualifying employer
• Relocation and other financial assistance may apply