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- Tasks: Lead the credit balance team in resolving patient account issues and training members.
- Company: Join Intermountain Health, a leader in healthcare dedicated to wellness and community support.
- Benefits: Enjoy a generous benefits package promoting health, happiness, and security.
- Why this job: Be part of a supportive culture that values your growth and well-being.
- Qualifications: High School Diploma required; 2+ years in insurance billing preferred.
- Other info: Work in Broomfield, Colorado, with a competitive hourly rate based on experience.
Supports the credit balance team in resolving complex issues on patient accounts.
Essential Functions
- As a Lead Credit Balance Representative, you will be the Subject Matter Expert for the following:
- Researches, validates and approves adjustments and refunds
- Provides training and coaching to credit balance team while maintaining confidentiality
- Confidential presentation of individual credit balance team’s Quality Assurance (QA) audits
- Timely coordination and resolution of compliance, third-party and audit refund projects
- Assist Credit Balance Leadership in creating and updating department workflows
- Coordination with other departments and Credit Balance Clerical team to ensure checks are printed and processed in a timely manner
- Partner with finance departments to research and complete reconciliation
Skills
- Knowledge of Rules and Regulations
- Reconciliation
- Advanced mathematic principles
- Reading Explanation of Benefits (EOB)
- Knowledge of Medical Terminology
- Understanding Insurance Claims
- Research Complex Accounts
- Training and Coaching
- Effective Communication
- Confidentiality
Physical Requirements:
Qualifications
- High School Diploma or equivalent (GED) required
- Two (2)+ years of experience in hospital or physician back-end insurance related activities (Billing & Follow-Up) required
- Knowledge of Medicaid and Medicare billing regulations required
- Epic systems experience preferred
Physical Requirements
- Operate computers and other office equipment requiring the ability to move fingers and hands
- See and read computer monitors and documents
- Remain sitting or standing for long periods of time
- May require lifting and transporting objects, office supplies, and equipment
- Bending, Kneeling, and Reaching
Location: Peaks Regional Office
Work City: Broomfield
Work State: Colorado
Scheduled Weekly Hours: 40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $21.20 - $32.26
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Thank you for considering a career with us.
Patient Account Associate Credit Balance Acct Review Lead employer: AECOM
Contact Detail:
AECOM Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Patient Account Associate Credit Balance Acct Review Lead
✨Tip Number 1
Familiarise yourself with the specific regulations surrounding Medicaid and Medicare billing. Understanding these rules will not only help you in interviews but also demonstrate your commitment to the role.
✨Tip Number 2
Brush up on your knowledge of Epic systems, as experience with this software is preferred. Consider taking an online course or tutorial to enhance your skills and show your initiative.
✨Tip Number 3
Prepare to discuss your experience in training and coaching others. Think of specific examples where you've successfully led a team or improved processes, as this will be crucial for the Lead Credit Balance Representative role.
✨Tip Number 4
Network with professionals in the healthcare billing field. Attend relevant workshops or webinars to connect with others and gain insights that could give you an edge in your application.
We think you need these skills to ace Patient Account Associate Credit Balance Acct Review Lead
Some tips for your application 🫡
Understand the Role: Before applying, make sure you fully understand the responsibilities of a Patient Account Associate Credit Balance Acct Review Lead. Familiarise yourself with the essential functions and required skills mentioned in the job description.
Tailor Your CV: Customise your CV to highlight relevant experience in hospital or physician back-end insurance activities. Emphasise your knowledge of Medicaid and Medicare billing regulations, as well as any experience with Epic systems.
Craft a Strong Cover Letter: Write a compelling cover letter that showcases your expertise in resolving complex patient account issues. Mention specific examples of how you've successfully trained and coached teams, and your ability to maintain confidentiality.
Proofread Your Application: Before submitting, carefully proofread your application materials for any spelling or grammatical errors. A polished application reflects your attention to detail, which is crucial for this role.
How to prepare for a job interview at AECOM
✨Know Your Regulations
Familiarise yourself with Medicaid and Medicare billing regulations, as well as any relevant rules and regulations. This knowledge will demonstrate your expertise and show that you are prepared for the complexities of the role.
✨Showcase Your Communication Skills
Effective communication is key in this position. Be ready to discuss how you've successfully communicated complex information in previous roles, especially when training or coaching others.
✨Prepare for Technical Questions
Expect questions related to reconciliation processes and reading Explanation of Benefits (EOB). Brush up on these topics and be prepared to explain your approach to resolving complex accounts.
✨Demonstrate Leadership Qualities
As a Lead Credit Balance Representative, you'll need to show your ability to lead and mentor a team. Share examples of how you've provided training or support to colleagues in the past.
