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|Job Category :
||University of Colorado Medicine
||Healthcare Payments Resolution Lead
|Job Description :
||University Physicians, Inc. is dedicated to providing healthcare and administrative support to the University Of Colorado School Of Medicine’s 2,000+ providers.
CU Medicine is dedicated to providing healthcare and administrative support to the University Of Colorado School Of Medicine’s nearly 3,000 providers and is affiliated with the leading medical institutions in the West. Located adjacent to the Anschutz Medical Campus, one of the largest and most advanced academic medical campuses in the country, CU Medicine offers a variety of administrative, technical and healthcare support career opportunities and serves as a resource for patients and physicians.
We are seeking a highly motivated Healthcare Payment Resolution Lead to join our Revenue Services team.
We will consider out of state candidates for this opportunity as the job can be performed remotely.
The Healthcare Payment Resolution Lead will be responsible for providing guidance and training for day-to-day functions of the Payment Specialist, Pre-Paid Specialist, Cost Estimate and Credit Resolution Teams. The individual in this position will act as a resource to members of all teams and assist in the coordination of information throughout the department of Revenue Services. The Lead will also assist with special projects and research of issues and trends as needed.
Duties include but are not limited to:
Maintain knowledge of and comply with established policies and procedures, and make recommendations for process improvements, as needed.
Keep all procedure manuals updated.
Train employees on existing and new procedures
Assist employees and effectively communicate process updates to team.
Review invoices escalated for refund approval, and escalated invoices when additional help is needed.
Assist with Quality Reviews
Assist with difficult accounts and/or requests/projects from management as needed.
Act as escalation point for issues from the team, gather information and perform research to help resolve.
Act as a point of contact for other department’s requests and provide information back to requestor in a timely manner.
Assist Cost Estimate specialist with incoming requests, issues and questions, as needed.
Assist Payment Specialists and outside departments with Contract Fee Schedule issues and questions.
Requires a bachelor’s degree in related field and/or 5 years of experience in the healthcare field with exposure to direct patient contact on billing issues, insurance billing and medical terminology. Working knowledge of AMA coding guidelines, government and commercial payer regulations, insurance contract analysis, and denial resolution is required. Must possess strong problem-solving skills, the ability to prioritize and delegate multiple tasks, as well as excellent oral and written communication skills is required. The ability to communicate with all levels within and without the organization in a tactful, professional, business-like manner. In addition, this candidate must possess strong PC skills, including spreadsheet, word processing, and database applications. As a result of the responsibility placed on the position, it is important that this person is well informed of all policies and procedures followed in the department.
CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. We are an equal opportunity employer.
The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data.
A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.
CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck.
Find information about our benefits here
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations
University Physicians, Inc. is dedicated to ensuring a safe and secure environment for our staff and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Additionally, drug and health screenings may be required for some positions. We are an equal opportunity employer.
University Physicians, Inc. supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on UPI property, Anschutz Medical Campus and adjacent business locations.
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