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Denver Health Revenue Cycle Specialist - PB Medicaid in Denver, Colorado

Revenue Cycle Specialist - PB Medicaid (Job ID: 3160)Job SummaryUnder general supervision, ensure optimal reimbursement for hospital orprovider billing on inpatient and outpatient accounts. Provides customerservice, billing, timely follow-up, cash application processes,reconciling payer remittance, denial management and appeal functions forclaims 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 legalliability. Acts as liaison support between the Hospital and Physician BusinessServices departments and third party payers and other Denver Healthdepartments. Utilizes various software applications and information systems toperform work processes.ResponsibilitiesKnowledge, Skills and AbilitiesKnowledge, Skills and Abilities: Knowledge and understanding of insurancebenefit plans and explanation of benefits. Have current knowledge ofregulatory requirements and codes. Skill sets to include 10-key by touch,typing a minimum of 25 words per minute (WPM) and, basic skills in wordprocessing and spreadsheet applications. Strong written and verbalcommunication skills, analytical thinking, high level of computeraccuracy, and organization and problem solving skills. Ability to prioritizework activities with minimal supervision, in an individual and team setting.Easily adapt to change. Ability to utilize various software applications andinformation systems to perform work processes. Bilingual Skills preferred.Certificate in healthcare/coding related course from an accredited schoolprefEducationEducation: High school diploma or GED certificate. Associate's Degree inbusiness or related field preferred.ExperienceExperience: Typically, three years of recent experience in ahospital/medical office setting performing a variety of duties.CredentialsBilingual Skills preferred. Certificate in healthcare/coding relatedcourse from an accredited school preferred.Work TypeFull timePay RangeMinimum: 16.42Midpoint: 19.72Maximum: 23.00All job applicants for safety-sensitive positions must pass a pre-employmentdrug test, once a conditional offer of employment has been made.Denver Health is an integrated, efficient, high-quality academic healthcare system that is considered a model for the nation. The Denver Healthsystem includes the Rocky Mountain Regional Level I Trauma Center, a 525-bedacute care medical center, Denver's 911 emergency medical responsesystem, 8 family health centers, 15 school-based health centers, theRocky Mountain Poison and Drug Center, the Denver Public HealthDepartment, an HMO, and The Denver Health Foundation.As Colorado's primary safety net institution, Denver Health is amission-driven organization that has provided more than $3.3 billion in carefor the uninsured in the last ten years. Denver Health is a leader inperformance and quality improvements and remains financially secure, inpart, due to its nationally recognized implementation of lean principles inhealthcare. Denver Health is a major resource to the community, servingapproximately 185,000 individuals and 67,000 children a year.Located just south of downtown Denver, Denver Health is just minutes awayfrom many of the cultural and recreational activities Denver has to offer.We strongly support diversity in the workforce and Denver Health is an equalopportunity employer (EOE)."""Denver Health is committed to provide equal treatment and equal employmentopportunities to all applicantsand employees. Denver Health is an Equal Opportunity Employer and does notdiscriminate against any employee orapplicant for employment because of race, color, sex, age, nationalorigin, religion, sexual orientation, gender identity,status as a veteran, and basis of disability or any other federal, stateor local protected class."

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