Customer Service Representative

Take phone calls from internal and external customers answering questions, taking payments and resolving issues. Submit 'clean' electronic and paper claims to payers. Review, adjust and edit insurance coverage, bills and statements to ensure accuracy. Use assertive follow-up techniques with payers, providing information, corrections and problem resolution. Use contract matrices to calculate reimbursement. Ensure accounts are paid according to contract guidelines and individual agreements. Process denials. Send letters and statements to payers and patients

Additional Information
Department Name: Patient Financial Services
Job Status: Full time, 40 hours per week.
Shift: Day, 8am to 4:30pm, Hybrid

Duties & Responsibilities

• Assist internal and external customers to provide information and resolve issues. -
  Follow up on assigned accounts and work to resolve billing, payment and contractual
  issues with payers in a manner that conforms to all federal, state and payer regulations
  and that elicits accurate and timely reimbursement from payers.
• Review, fix and submit bills manually and electronically in a manner that conforms to all
  federal, state and payer regulations and that elicits accurate and timely reimbursement
  from payers.
  

Minimum Qualifications

• Degrees
  • High School Diploma or Equivalent
    
• Experience
  • Two to three years progressively responsible clerical experience in a health care
    setting. Previous hospital billing experience preferred. The ability to seek information independently and apply
    that knowledge in a broad specific fashion as situation dictates. Ability to handle repetition and attention to
    details.
  • Preferred Education - Associates
  • Preferred Education Field of Study - Business
  • Required Education - High School Diploma or Equivalent

• Additional Requirements
• Competency
• Financial Accountability: a -Responsible for personal use of resources, supplies and materials, tracking
  personal spending and submitting accurate expense reports.
  Judgment: b -Sets priorities for own work within overall guidelines; manages own workflow in cooperation with
  others.

Salary Information
Pay is dependent on applicant's relevant experience.

Hourly Range: $18.26 to $27.40

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.