Billing Auditor

This is a fully remote position, open to applicants in Colorado.

📋 Description

• Oversee the commercial billing process to ensure that accurate claims are dispatched.

• Exhibit comprehensive methodology and expertise in generating precise UB04 and 1504 forms.

• Address billing concerns professionally to resolve outstanding balances and achieve the department's financial objectives.

• Process re-bills as required.

• Validate claims on SSI.

• Confirm that claims are sent with the necessary details, including authorizations and correct patient information.

• Maintain precise account information consistently.

• Implement necessary adjustments to accounts for accurate billing.

• Guarantee timely billing by overseeing reports produced by the billing system.

• Manage the Medicaid RA for adjustments.

• Re-bill insurance companies when necessary.

• Prepare and bill secondary payer accounts promptly.

• Investigate and rectify late charges/credits for accuracy and re-bill as needed.

• Document each account to reflect actions taken and schedule any additional required actions.

• Serve as a liaison and coordinate necessary documentation among payer, medical records, review organizations, managed care provider, physician's office, and ancillary departments.

• Collaborate with the system operations department to address processing issues and find resolutions.

• Monitor rejection reports and troubleshoot issues.

• Provide insights on issues and trends to enhance processes.

• Ensure claims are received by the payers.

• Assume the responsibilities of other billers (Medicare and Medicaid) when necessary.

⛳️ Requirements

• Education: High School diploma or equivalent is required.

• Experience: 1-3 years of experience in a healthcare business office is required.

• Organizational experience is essential.

• Skills: Proficiency in computer applications, Meditech, SSI, Optical Storage System, PC, and Windows Software.

• Ability to read and comprehend written instructions.

• Capability to follow verbal instructions.

• Compliance with payer billing requirements.

• Requirement: Good credit rating is essential.

🏝️ Benefits

• Medical, Dental, and Vision coverage, including options for eligible dependents.

• Employer-paid basic life insurance coverage with additional buy-up options.

• Flexible Spending Account (FSA) available for healthcare and dependent care.

• Paid time off (PTO), paid family and medical leave (including Colorado FAMLI), Paid Sick/Bereavement Leave under Colorado Healthy Families and Workplaces Act (HFWA), and leaves of absence.

• Tuition Assistance is available.

• Retirement Plan 401(a) offered.

• Retirement Plan 403(b) plans with employer matching contributions available.

• Employee Assistance Program provided.

• Employee discount on Valley View Medical Services.

• Employee voluntary benefits such as discounted RFTA bus passes, gym memberships, corporate ski passes, and free car seats for new Valley View babies born or adopted by Valley View employee(s).

• Free use of Sunlight and Aspen SkiCo day passes, subject to availability.

• Loan Repayment: Valley View qualifies as an employer for the federal Public Service Loan Forgiveness (PSLF) program!