Biller, Hospital PFS, Full-Time

Community Hospital

Posted 4 months ago

Full Time

Grand Junction, Colorado

In Person

Smart Summary

Responsibilities

The Biller is responsible for managing assigned accounts by researching balances, verifying insurance eligibility, and ensuring accurate coding for claims submission. They also handle patient inquiries, resolve billing discrepancies, and initiate action plans for account settlement.

Qualifications

You have a high school diploma or equivalent and 1-3 years of related experience. You are responsible for following up on assigned accounts, researching and analyzing payments, and ensuring all conditions for payment receipt are met.

Must Have Skills for ATS

ICD-10

CPT-4

Medicaid

Job Description

Position Highlights:

  • Position: Biller
  • Location: Hospital PFS
  • Schedule: Full-Time M-F 8:00AM -4:30PM

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 March 31, 2026


Be Extraordinary. Join Us Today!

Community Hospital recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, Community Hospital is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual’s race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, transgender status, genetic information or veteran status. Community Hospital does not discriminate against any “qualified applicant with a disability” as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Community Hospital

About Community Hospital Community Hospital in Grand Junction, Colorado, is a full-service, acute-care hospital licensed for 60 beds. As part of the Colorado West Healthcare System, we offer full outpatient diagnostic services and inpatient care for the Western Slope region of Colorado, and eastern Utah. Community Hospital brings together expert staff and world-class technology in a healing, family-centered environment. We provide a full range of medical services, including inpatient and outpatient surgery,and emergency care. We have comprehensive diagnostic capabilities: state-of-the-art ultrasound, CT (Philips Ingenuity 128 MDCT), digital mammography and cardiac testing. Community Hospital proudly partners with University of Utah Heath Care and Huntsman Cancer Institute to provide world-class medical and radiation oncology right here at home. Community Hospital is Joint Commission accredited. Our laboratory is College of American Pathologists-accredited. For those lab tests that we don’t conduct on site, the Mayo Clinic is our exclusive partner for reference laboratory services. We pride ourselves on delivering personalized care to our patients, and in working closely with our medical-care providers in treating the whole person. This approach has resonated with our patients, and we are growing to meet our community’s demand. On October 15th, 2014, Community Hospital broke ground on a new four-story, 140,000 square foot, state-of-the-art facility. Our NEW hospital opened Thursday, March 17th, 2016!
Runway Icon
Boost Your Interview Chances

With Runway

See Your Fit for This Role

1-5 min

Your Score

?

Top Applicants

90%

Your Job Search Advantage

Key Gaps & Next Steps:

Address these in your resume & Interview

Top Strengths For This Role

Highlight these in your cover letter & interview

Your Interview Guide

A Personalized Interview Strategy

Freshest Opportunities

Never Miss a Good Fit

Get notified when jobs mach your criteria