Revenue Cycle Specialist

Description:

At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare-we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area.

With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you.

General Purpose: This position is critical to the success of the revenue cycle. Bill and collect payments for services rendered from a variety of payor sources. The Patient Accounts Billing Specialist is responsible for timely and accurate coding, billing, claim denials, and payment posting.

Essential Duties and Responsibilities:

• Resolve issues with incomplete and/or inaccurate patient registration
• Verify charges were entered correctly and update as needed.
• Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module
• Review and assess adjudicated claims for timely and proper payment of outstanding balances
• Research, correct and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting
  Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments
• Research and resolve denials and underpayments with insurance carriers
• Submit third party payor appeals and reconsideration requests in a timely manner
• Meet department and/or organization productivity goals/benchmarks
• Post third party payors(s), government, grant funded and patient payments
• Respond to patient inquiries regarding billings
• Assist other staff as needed to keep department workload current
• Maintain communication with all interested parties regarding patient account issues
• Perform other duties as assigned

Requirements:

STRIDE Values:

• Community: All are welcome at STRIDE - our patients are the center of our work.
• Trust: Our patients feel safe, empowered, and supported.
• Value: We respond to patients' needs by providing effective, affordable care.
• Compassion: We treat patients with kindness, empathy, and dignity.

Education and Experience:

• Required: High school diploma or GED.
• CPC Certification preferred

Skills and Expertise

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patients, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

• Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing
• Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director
• Microsoft suite and various audio/video platforms
• Internal and external IT ticketing systems

Working Environment and Physical Activities

Office environment within a clinical setting. Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs. occasionally. Communicate information to others. Discerns/analyzes information from others to assist in decision making.

At STRIDE Community Health Center, we value a strong and collaborative work environment. To ensure a successful integration into our team, we implement a 90-day probationary period for all new employees. This timeframe is designed to evaluate performance and assess cultural alignment within our organization. It offers both the employee and the employer the opportunity to determine if the role is a mutual fit, promoting long-term success and satisfaction in your career with us. Join our dedicated team and contribute to our mission of providing quality health care to our community!

Work Schedule:

Monday-Friday, 8:30am - 5:00pm - 3 days in the office & 2 days working from home

This hybrid role requires candidates to be located in Colorado or in the process of relocating.

STRIDE offers a competitive hourly range of $22.00-$26.00, depending on experience.

The salary range reflects STRIDE’s good faith estimate of potential compensation at the time of posting. The final offer for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty and training.

Why STRIDE

• Medical, dental and vision coverage
• Paid time off and paid holidays
• Health Savings account (HSA) and Flexible Spending accounts, including dependent care options.
• 401(K) with matching for eligible employees
• Work-Life balance-No nights, no weekend and no major holidays
• NHSC loan repayment assistance
• Tuition reimbursement and continuing medical education assistance
• Employee Assistance Program (EAP)
• Employee discount programs on top local attractions
• Competitive wages

STRIDE conducts background checks, including criminal history, education, license and certification.

STRIDE is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law.

STRIDE complies with the Americans with Disabilities Act, providing reasonable accommodations as needed.

Health and Safety commitment:

To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.

Application submission closing date: Applicants will be considered until the position is filled.