Self-Pay Biller, Hospital PFS, Full time

Position Highlights:

• Position: Biller


• Location: Hospital PFS


• Schedule: Full-Time

Responsibilities:

Follows up on all assigned accounts within the billing systems in accordance with pre-established goals.      

• Initiates proactive measures that result in account resolution.


• Researches and analyzes accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.


• Ensures that all conditions for payment receipt have been satisfied, which includes, but is not limited to, accurate charges and financial class, authorization/certification/information, claims address, ICD-10 and CPT-4 coding, patient insurance eligibility, patient benefit coverage, and patient responsibility


• Writes appropriate notes in the system for every account, including any action taken.


• Meets daily and weekly productivity standards.

Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties.

• Initiates contact with patient, as necessary.


• Initiates recommendations and action plans for resolving accounts.


• Evaluates accounts to determine any write-offs or corrections required, including duplicate charges.


• Handles in a professional and confidential manner all correspondence, documentation, and files.


• Attempts to locate patient/guarantor through direct contact, letter, or other means.


• Receives and answers inquiries or complaints concerning self-pay accounts; gathers information for timely resolution of issues.


• Speaks with patient/guarantor to find third-party sponsorship, settlement, or to begin charity process.


• Prepares correspondence to patient/guarantor, as necessary.


• Establishes payment arrangements according to preset guidelines.


• Elevates issues, as appropriate, to the supervisor.

Submits claims and/or statements for payments.

Prepares refund requests for any monies due to patient or insurance company.

Reviews various reports to identify denials and edits; corrects claims, suggests action plans to eliminate these denials/edits in the future, and determines appropriateness for appeal. Prepares write-offs requests for denied claims which cannot be appealed. Investigates the possibility of Medicaid linkage.

Requirements:

High school diploma or equivalent.

One to three years related experience and/or training preferred.

Compensation:

• $19.00 – $21.85 per hour, depending on education and experience.


• Discretionary bonuses, relocation expenses, merit increase, market adjustments, recognition bonuses, and other forms of discretionary compensation may be available.

Benefits:

• Medical, dental, vision insurance


• Life Insurance


• Free Parking


• Paid time off


• Education assistance


• 403(b) with employer matching


• Wellness Program


• Additional benefits based on employment status

Additional Information:

• Relocation: Must relocate to Grand Junction, CO 81505 before starting work.


• Work Location: In-person/onsite


• Application Deadline: Posting will remain open until June 30, 2026