Claims Analyst /Collector/Full-Time

Company: Montrose Memorial Hospital
Location: Montrose
Posted on: May 3, 2021

Job Description:

Claims Analyst /Collector/Full-Time - Montrose, COClaims Analyst /Collector/Full-Time+ Patient Financial Services + Montrose, CO, USA + 14.90 - 21.61 + Hourly + Full Time _Medical, vision, dental, 401k retirement services. Annual leave including vacation, sick and holiday, night and weekend shift differentials may apply_Montrose Memorial Hospital is the #1 Small Hospital in Colorado and for the 6th time in a row has been in the top 100 Small hospitals in the nation. We hold a 5 star rating with the Joint Commission.Montrose is a historic Colorado town on the beautiful Western Slope of the Rocky Mountains, perched in the perfect spot to serve as your base camp for year-round outdoor adventure. Montrose Memorial Hospital offers patients personalized and professional healthcare, backed by the latest technology and practices. In addition to providing advanced medical care, the hospital strives to be an integral part of the community it serves, leading the way in improving and maintaining the health of the entire population. The culture of community service is nurtured between and among the staff at Montrose Memorial Hospital. As a community grows, so must its delivery of healthcare. In the rapidly expanding part of southwestern Colorado, Montrose Memorial Hospital plays a vibrant and vital role in maintaining the health of the community it serves and attracting people to the area. Montrose is nestled within easy reach of a remarkably vast selection of outdoor experiences. Thus the slogan "Stay here. Play everywhere." With the plummeting depths of the Black Canyon National Park just to the east, the towering and majestic San Juan Mountains to the south, the expansive Uncompahgre Plateau to the west, and lake-bejeweled Grand Mesa to the north, and an expansive water sports park right in the middle of town, Montrose is literally surrounded by an endless variety of prospects for exploration and adventure. There is something for everyone!Position Overview:Claims AnalystCollector must know the essential functions of submitting clean claims to Colorado Medicaid and Rocky Mountain insurance companies for accurate payments of services provided by Montrose Memorial Hospital. They must also be proficient in the Electronic Health Record system, Electronic Billing System, and all insurance portals. Can perform comprehensive follow-up with Colorado Medicaid and Rocky Mountain insurance for timely payment.Essential Functions:Essential Functions: 1)Maintains current knowledge of billing rules for Colorado Medicaid and Rocky Mountain insurance for hospital and physicians. 2)Reports discrepancies, admission errors, and coding questions to proper departments for ongoing process improvement 3)Run insurance aging reports to identify unpaid insurance claims that are 30 days old from date of service. Insurance must be contacted on a monthly basis via website or telephone for updates. 4)Identify, bill, and follow-up on unpaid secondary or tertiary claims within assigned insurances. 5)Follow policies and procedures for submitting appeals. 6)Updates job knowledge by actively participating in educational opportunities. 7)Follows HIPAA (Health Insurance Portability and Accountability Act ) guidelines in handling patient information 8)Follows policies and procedures for entering communication to, from or with patients into accounts. 9)Process credit balance accounts generating refunds to appropriate parties or correcting adjustments. 10) Enhances billing department and organization reputation by accepting ownership for accomplishing new and different requests, exploring opportunities to add value to job accomplishments. 11) All other duties as assigned.Montrose Memorial +Resources+ Home +Share This Page

Keywords: Montrose Memorial Hospital, Snowmass , Claims Analyst /Collector/Full-Time, Other , Montrose, Colorado