Position supports all denials management functions for Patient Financial Services, maintains and updates denials management data, and conducts analyses for trending and reporting. The position will also be responsible for conducting root-cause analysis of denials, interacting and meeting with departments throughout the hospital requiring assistance in addressing denials, be responsible for working denials that are escalated to them for review and resolution, work with PFS or other departments to develop and maintain all denials management training and guidelines. This position requires strong partnering with management and staff in PFS, Ambulatory Services, Case Management, Patient Access and HIM.
Duties & Responsibilities
Population Specific Care
No Direct Patient Care
Qualifications
General Work Experience: Three to five years prior experience in a healthcare or related field (front-line clinic,
billing office and/or admissions department) with exposure to billing and denials management. Must have
familiarity with data analysis and reporting and must be proficient with Microsoft Excel. The individual must
exhibit an ability to participate in an environment that promotes staff development, productivity, satisfaction
and efficiency. The individual must be customer service oriented (internal/external), exhibit strong
communication skills - written and verbal, display an ability to multi-task, and use of general office equipment
and systems are required.
Preferred Education - Bachelors
Preferred Education Field of Study - Business
Preferred Experience: 3 to 5 years denials management & analysis
Preferred Experience: 3 to 5 years hospital billing and claims follow-up
Required Experience: 1 to 2 years hospital billing and claims follow-up
Minimum Qualifications
- Degrees
- Area of Study
- Experience
- 1 to 2 years hospital billing and claims follow-up
- Competency
- Please insert details here for COMPETENCY
Salary Information
Pay is dependent on applicant's relevant experience.
Hourly Range: $20.14 to $30.21
Benefits Information
Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.
As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.
Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.
EEO Statement
It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.
Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.