Follow-Up Specialist - PRN

Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital.  This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.   About the opportunity:

Responsible for collection activities including but not limited to insurance follow-up, resolving denials & rejections, submitting re-bills, re-submit claims, and file appeals. Assists with resolving unpaid self-pay and patient residual accounts. As needed, acts as the back-up for the billing function, posts charges and submits insurance claims. Completes required reports and assists with special projects as assigned. Backs up other front office positions as needed.

What you will do:

1. Performs claims follow-up by working aging and denials.
2. Applies knowledge of insurance contracts and medical procedure reimbursement.
3. Coordinates resubmission of claims when necessary.
4. Submits appeals with supporting documentation when warranted.
5. Identifies denial trends and works with management and payers to resolve issues.
6. Contributes to team effort to meet collection goals and reduce A/R days.
7. Investigates insurance overpayments and submits refund requests to department manager.
8. Exhibits strong problem solving and research skills to ensure solutions are found.
9. Completes required reports and assist with special projects as assigned.
10. On an as needed basis will assist and back-up other front office staff positions.
11. Role models the principles of a Just Culture and Organizational Values.
12. Perform other duties as assigned. Must be HIPAA compliant.

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.   What you will need:   Experience:

• One year healthcare experience OR One year accounts receivable experience required

License(s):

• N/A

Certification(s):

• N/A

Computer / Typing:

• Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Must have working knowledge of the English language, including reading, writing, and speaking English.   Education:

• Bachelors Degree preferred

The posted salary range for this position applies to Colorado and may be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions, including but not limited to experience, education, licensure and/or certifications, geographic location, market demand and other business and organizational needs. 

 

 

PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility 

Pay is based upon relevant education and experience per hour.

Hourly Pay:$20.30—$24.19 USD