Healthcare Account Specialist

Position Summary

This position exists to provide day to day processing of Health Center at Auraria business operations within the accounting/revenue cycle department.

IND208

Duties/Responsibilities

ACCOUNTSRECEIVABLE-RECORDING

• Prepares adjustments, transfers, and corrections to patient accounts.
• Makes interdepartmental and inter-agency account entries.
• Posts all daily patient transactions based on medical treatment and diagnosis.
• Generates proper medical forms.
• Resolves customer disputes and determines if failed appointment charges should be removed.

ACCOUNTSRECEIVABLE-VERIFYING

• Audits patient accounts and electronic medical records to ensure all charges, medical codes, and data are complete and correct.
• Reviews all payments for completeness and issues receipts.
• Reviews fiscal budget for auxiliary income to determine if projected revenue is on target.
• Sends out electronic insurance billing to all insurance carriers
• Posts insurance checks for each institution.
• Rebills insurances with any necessary corrections or explanations.
• Verifies monthly Banner reports for accuracy of deposits.
• Reconciles and verifies monthly accounts receivable to ensure it is utilizing the medical software program.

ACCOUNTSRECEIVABLE-CLASSIFYING

• Selects correct source categories for specific reporting needs.
• Develops and maintains computerized medical software file maintenance to reflect proper action coding and service charges to patients.
• Researches and documents adjustments to patients' bills.
• Determines correct ICD10 and CPT codes to facilitate reimbursement to the health center or patients.
• Develops and maintains the encumbrance policy in accordance with state collections guidelines to determine which accounts are delinquent and need to be encumbered and which should be submitted to the state collection agency, in cooperation with the three other institutions on campus (MSU Denver, CCD, UCD).

ACCOUNTSPAYABLE-RECORDING/VERIFYING/CLASSIFYING

• Enters and reconciles data on all outside laboratory charges and outside pathology services rendered to patients.
• Researches and bills additional charges for any outstanding clinical tests/procedures.
• Reconciles diagnostic/pathology lab charges billed to the clinic monthly.
• Reconciles X-ray charges billed to the clinic monthly.

CASHCONTROL-REPORTING

• Sends patients' monthly medical billing statements.
• Reviews patients' past payment history and determines eligibility for deferred payments.
• Ensures proper daily accounting of money.
• Processes and reconciles cash deposits, including patient charges/accounts, crediting of payments, balancing of daily and monthly transactions, researching discrepancies, and generating daily deposits.

FRONTDESK

• Support front desk personnel checking in patients, verifying insurance and scheduling when needed.

HEALTHINFORMATION

• Serves as a backup to the Supervisor of Health Information. Back up to Supervisor of Health Information.
• Process prescription requests, record requests, and referrals.

REPORTING

• Generates daily reports to reconcile versus previous days charges.
• Assists department supervisor with various components of daily/weekly/monthly reporting for tracking performance.
• Confirms accuracy of credit card batches for theMSUDenver cashier's office.
• Generates and audits monthlyKPIreports.

SCHEDULINGOFAPPOINTMENTS

• Uses electronic medical software to schedule patients with the appropriate provider after evaluating their needs.
• Confirms patient appointments, and cancels or reschedules when necessary.
• Generates appointment reports.
• Ensures adequate time, patient notes, and resources are set up for all appointments.

STAFFTRAINING

• Trains staff on computer operations, accounts receivable, scheduling, balancing and reconciliation techniques, computer coding, proper recording methods and procedures, and accounting transaction entries.

Required Qualifications

• Experience withICD-10/CPTcoding
• Experience in medical insurance and healthcare billing
• Experience with patient-facing customer service in an office environment
• Must be current with all required vaccinations and immunizations for healthcare professionals.

Important Note:Successful applicants will ensure their resumes clearly demonstrate that their work experience describes how they meet ALL required qualifications.

Preferred Qualifications

• Previous experience performing accounting functions in a medical practice.
• Experience working with computerized/electronic health record system
• Medical Billing or Coding Certificate
• Experience with accounting and/or bookkeeping
• Experience processing cash receipts including balancing, researching discrepancies and generating daily deposits
• Experience working with vendor billing or patient accounts, identifying problems and reconciling statements
• Previous experience in a position that required strong interpersonal and excellent customer service skills
• Previous experience in a position that required excellent organizational skills, in addition to managing multiple tasks simultaneously

Work Hours

• Full-time, 40 hours per week, Non-Exempt
• 8 a.m. - 5 p.m. Monday through Friday, Evening/weekend work: N/A
• This is a 100% in-person role
• Travel: N/A

Instructions to Apply

For full consideration, please submit the following documents:

• Resume
• Cover letter describing relevant job experiences as they relate to listed job qualifications and interest in the position

Official transcripts will be required of the candidate selected for hire.

If you are an Internal applicant, please apply via the Career tab within the WorkDay Menu

Important Note: Successful applicants will ensure their resumes clearly demonstrate that their work experience describes how they meetALLrequired qualifications.

Open Until Filled

The University's benefits package is comprehensive and offers medical, vision and dental, free RTD pass, tuition reimbursement, as well as a life and supplemental insurance plans, retirement plans and other programs, such as accessto a long-term disability (LTD) plan.Visit MSU Denver'sbenefits websiteto learn more.

For a brief overview, please see: https://www.msudenver.edu/wp-content/uploads/2024/01/MSU-Benefit-Summary.pdf.

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at totalrewards@msudenver.edu.

Metropolitan State University of Denver is a unique, access-oriented campus community that values diversity, equity, and inclusion in all its forms. Our student population consists of nearly 58% first generation students and over 50% students of color. We are a designated Hispanic Serving Institution located in downtown Denver.

We create an equitable learning and working environment in concert with individuals who consistently demonstrate commitment to equity and inclusion. We greatly value the diverse identities and perspectives of our students, faculty, and staff and recognize that in order to achieve a just and equitable society, diversity must go beyond simple representation. It requires critical inquiry and dialogue and a commitment to action. We strive to provide a culture of belonging for all community members to achieve personal and professional success.