SCL Health is a faith-based, nonprofit health care organization headquartered in Broomfield with facilities located in Colorado, Kansas and Montana. SCL Health operates:
9 hospitals 4 safety net clinics 1 children's mental health treatment center 190+ ambulatory service centers Interested in making a difference? Then check us out. Our rich heritage and mission, and our focus on health care delivery that values person-centered care, excellence and accountability are a winning combination as we bring healthâ??and hopeâ??to our patients.
Our ministry is dedicated to improving the health of the communities and individuals we serve, especially those who are poor and vulnerable.
This position is responsible for resolving complex issues, through claim analysis, with the goal to reduce outstanding aged claim balances. This position has a high level of attention to detail, system knowledge, as well as the ability to handle multiple priorities across a complex system.
Manages complex claims processing issues. Researches claim issues in order to resolve aged claims.
Identifies Strengths, Weaknesses, Opportunities, and Threats (SWOT) of revenue cycle functions.Identifies trends and issues, impacting the accounts.
Involved in all aspects of claim resolution, to include appeals, rebills, and corrected claims.
Proposes solutions and process improvements.
May be assigned to work with patient accounts associated to one or more specialized areas or insurance payers. This is including but not limited to, acute, ambulatory, medical specialty, provider based, commercial, government, or other third-party payers. Serves as a subject matter expert for the assigned specialized area or insurance payer.
Located in Broomfield, CO.
High School Diploma
A minimum of 3 years working with Patient Accounts
General computer skills. Typing, 10-key
Advanced proficiency level with MS Office products including Outlook, Word and Excel.
Advanced level knowledge of medical billing, insurance, and compliance regulations and coding.
Advanced knowledge of Epic.
Advanced knowledge of Acute care billing compliance, AR Management, Workflow Analysis, and patient accounting processes.
Excellent interpersonal, organizational, presentation, verbal and written communication abilities.
SCL Health is a faith-based, nonprofit healthcare organization that operates eight hospitals, four safety net clinics, one children’s mental health center and more than 190 ambulatory service centers in three states – Colorado, Kansas and Montana. The health system includes 15,000 full-time associates and more than 500 employed providers.