[Hiring] Patient Account Associate Claims and EDI @Intermountain Health

Role Description

Responsible for processing all claims, electronic and paper, within EPIC and outside the clearinghouse. Monitor unbilled claims, maintaining and updating medical coverage.

• Process all claims in a timely manner through resolution of patient account work queues to ensure medical coverage is accurately added to all appropriate accounts.
• Processes and corrects registration information, coding, status level of care, coverage, and coordination of benefits through appropriate processes in the system.
• Assists in monitoring unbilled outstanding claims.
• Works with Clearinghouse to resolve system or edit issues.
• Research errors identified by payers and works with other departments to correct information on claims.
• Acts as Subject Matter Expert (SME) for the team.
• Supports onboarding of team members and cross-training efforts.
• Works with members of the IT team to test new connections or troubleshoot issues.
• Supports supervisor in coordinating with clearinghouse vendors and payer EDI teams.
• Meets department’s productivity and quality goals in a high-volume processing environment.
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.

Qualifications

• High School Diploma or equivalent (GED).
• One (1) year of work experience in a high-volume processing position or medical billing office or Billing/Coding certification/training is required.
• Knowledge of Medicaid and Medicare billing regulations.
• Preferred Qualifications:
• Knowledge of Revenue and ICD coding language.
• Billing & Coding Certified.
• Two (2) years of experience in medical processing and previous experience in EPIC medical billing software preferred.

Requirements

• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy.
• Expected to lift and utilize full range of movement to transport, pull, and push equipment.
• Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment.
• Typically includes items of varying weights, up to and including heavy items.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

Benefits

• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.
• Focus on living healthy, happy, secure, connected, and engaged.