Job description

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services to include medical, dental and behavioral health throughout 24 outpatient health centers within El Paso, Teller, Lincoln, Adams and Kit Carson counties. We deliver care with our strong “Hospitality” culture. Our organization has over 800 employees and serves more than 89,000 patients annually in the Pikes Peak and East Central regions of Colorado. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $18.22 to $26.42/hourly, based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/careers/employee-benefits-guide

Job Summary:
Coordinates patient and insurance billings by performing the following duties:

Essential Duties and Responsibilities

• Responsible for quality assurance of Patient Accounts Representatives.
• Contributes to trend identification to further training delivery in the Patient Accounts Department.
• Participates in process improvement initiatives.
• Completes project work, as assigned.
• Responsible for understanding the billing details and requirements for all third-party payors and miscellaneous programs.
• Enters and approves data into the computer system according to appropriate guidelines to ensure that accounts receivable is correct.
• Third party billing via electronic, Web portal or hardcopy formats.
• Posts payments and adjustments with appropriate codes.
• Coordinates member benefits.
• Adjusts member accounts based on updated information.
• Participates in coding and entering hospital charges from charge sheets and/or face sheets.
• Promotes and demonstrates the mission, vision, and Core Values of Peak Vista.
• Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.
• Embraces cultural diversity amongst ourselves and our community.
• Responsible for the human, financial, and material resources as well as data and information entrusted to us.
• Strives to deliver the best outcomes and highest quality service.
• Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.
• Enhances the effectiveness; efficiency and productivity of the department by contributing to, and participating in, departmental performance improvement goals.
• Other duties as assigned

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Spanish bilingual preferred.

Education/Experience:
Education: High school diploma or equivalent education.

Work Experience: 2 years of customer service required. Experience with UB92/UB04 required. Experience with hospital inpatient and outpatient billing desired. Knowledge of medical terminology required. Understands medical and financial confidentiality.

Computer Skills: Intermediate - ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; use and create a variety of templates, complex tables, merges; manage table data, sort and filter merges, and also perform basic work with existing Macros; customize toolbars, import and insert graphs, embed Excel data, and elaborate reports; work with multiple worksheets, filter data, use integrate functions, and manipulate databases; customize templates and the PowerPoint environment, and to make a presentation interactive by using hyperlinks and action buttons

Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand and walk.

• Successful candidates will complete pre-employment screening; which includes but is not limited to, a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol-free workplace and an Equal Opportunity Employer.

**PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee's I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com

In order to protect the health and safety of our workforce, patients, and communities we serve, Peak Vista Community Health Centers (PVCHC) now requires all employees to provide proof of full vaccination for COVID-19 or apply for and be granted a medical and/or religious exemption. For more information on PVCHC's response to COVID-19, please visit our website at https://www.peakvista.org/.

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