Revenue Cycle Specialist II

Job Description:

The Revenue Cycle Specialist II is responsible for performing a variety of complex duties, including working outstanding insurance claims follow–up for no response, unresolved from payors, and/or claim denials. Works facility claims ("Hospital billing"). Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values.

Schedule - Monday - Friday

Essential Functions

• Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections.
• Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
• Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. 
• Reconcile accounts, research and resolve various issues relating to posting payments and charges, insurance denials, secondary billing issues, sequencing charges, and non-payment of claims.
• Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
• Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
• Accurately and thoroughly document the pertinent collection activity performed while meeting/exceeding productivity and quality standards
• Participate and attend meetings, training seminars and in-services to develop job knowledge.

Skills

• Microsoft Office
• Computer literacy
• HIPAA regulations
• Communication (oral and written)
• Accountability/ability to work independently
• Contract Interpretation
• Customer Service
• Read and interpret EOB’s (Explanation of Benefits).
• Knowledge of medical billing and collections
• Medical terminology

Qualifications

• High school diploma
• Two (2)+ years of experience in hospital or physician insurance related activities (Billing & Follow-Up)
• Knowledge of revenue and ICD 10 coding practices
• Bilingual Spanish speaking preferred
• Strong experience in accounts receivable
• Experience with Nevada insurance guidelines and government entities

Physical Requirements

• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Nevada Central Office

Work City:

Las Vegas

Work State:

Nevada

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$19.85 - $30.21

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.

Learn more about our comprehensive benefits package here.

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.