Revenue Cycle Specialist

Denver Health - Denver, CO3.7

Full-timeEstimated: $38,000 - $51,000 a year
Job Summary
Under general supervision, ensure optimal reimbursement for hospital or provider billing on inpatient and outpatient accounts. Provides customer service, billing, timely follow-up, cash application processes, reconciling payer remittance, denial management and appeal functions for claims to government or grant funded programs, worker’s compensation, commercial insurance. Provides financial guidance on self pay accounts. Interprets explanation of benefits. Investigates delinquent accounts for legal liability. Acts as liaison support between the Hospital and Physician Business Services departments and third party payers and other Denver Health departments. Utilizes various software applications and information systems to perform work processes.

Minimum Qualifications
Education: High school diploma or GED certificate. Associate’s Degree in business or related field preferred.

Experience: Typically, three years of recent experience in a hospital/medical office setting performing a variety of duties. Knowledge, Skills & Abilities: Knowledge and understanding of insurance benefit plans and explanation of benefits. Have current knowledge of regulatory requirements and codes. Skill sets to include 10-key by touch, typing a minimum of 25 words per minute (WPM) and, basic skills in word processing and spreadsheet applications. Strong written and verbal communication skills, analytical thinking, high level of computer accuracy, and organization and problem solving skills. Ability to prioritize work activities with minimal supervision, in an individual and team setting. Easily adapt to change. Ability to utilize various software applications and information systems to perform work processes. Bilingual Skills preferred.

Certificate/License/Registration: Certificate in healthcare/coding related course from an accredited school preferred.

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver’s 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.

As Colorado’s primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.

Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

“Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.”