CU Medicine

Role Description We are seeking a highly motivated Medical Billing Accounts Receivable Coordinator to join our Accounts Receivable Resolution team. This job can be performed 100% remotely and out of state candidates will be considered. - Follow up on unpaid or rejected insurance claims for assigned carriers and work with insurance companies, physicians, and/or staff to resolve account issues. - Respond to inquiries from insurance carriers via telephone, email, or fax, demonstrating a high level of customer service. - Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system to ensure progress on outstanding accounts. - Review the Explanation of Benefits (EOBs) received from assigned carriers and take appropriate action according to company guidelines. - Collect necessary information and prepare appeals to carriers when not in agreement with claim denials. - Advise the Team Lead of any trends regarding insurance denials to identify problems with particular payers. - Follow HIPAA guidelines in handling all patient information. - Maintain an understanding of the hierarchy of payers and successfully navigate within the medical claim billing and EMR software. - Verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed. - Complete required reports and other projects as necessary utilizing Microsoft Excel. Qualifications - High school diploma. - Minimum of 1-2 years hands-on experience in a fast-paced medical billing environment. - Previous experience in a healthcare setting. - Familiarity with CPT and ICD-10 is highly preferred. - Strong communication skills and attention to detail. - Able to handle a very high volume of work with speed and accuracy. Requirements - All applications MUST be submitted via our website. - You may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation in your materials. - CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. - Background investigations for all prospective employees prior to employment. - Drug and health screenings may be required for some positions. Benefits - Generous leave. - Health plans. - Retirement contributions which take your total compensation beyond the number on your paycheck.

Role Description We are seeking a highly motivated and self-driven Healthcare Customer Service Representative who possesses the capacity to think outside the box and is excited about the opportunity for professional growth and advancement. This job is 100% remote and out of state candidates will be considered. The goal of the Healthcare Customer Service Representative will be to elevate the CU Medicine patient experience by addressing questions/concerns and fielding correspondence requests primarily received via phone in a call center environment. The ideal candidate will demonstrate the ability to successfully multitask and alternate between multiple programs. - Receive and bring to resolution up to 60 calls daily in a fun, fast paced, metric-driven environment. - Interact directly via phone with patients, affiliate partners, payers, and healthcare providers. - Collect payments and/or provide guidance on payment options for outstanding balances. - Update accounts with new or corrected information; request itemized statements &/or re-bill claims when appropriate. - Explain medical bills and identify deductibles, coinsurance, copays and other patient financial responsibilities. - Utilize analytical thinking for account research and reconciliation. - Manage all interactions in a positive, caring manner. - Perform specialized tasks as assigned by the manager and/or supervisor. Qualifications - High school diploma or equivalent. - Minimum of 2 years’ healthcare experience, preferred 2 years of medical billing and direct patient contact in a call center environment with exposure to insurance billing and medical terminology. - Technically proficient. - Advanced verbal and written communication skills. - Strong interpersonal skills. - Professional maturity and ability to exercise sound judgement are essential. - Written/verbal fluency in both English and Spanish is preferred. Requirements - Bilingual individuals (English/Spanish) are eligible for a language pay differential of $1.50/hr on top of current pay rates. - Language testing will be deployed for all qualified candidates to ensure bilingual skills are at the proficiency level needed to meet the expectations/requirements of the job. - CU Medicine conducts background investigations for all prospective employees prior to their employment. - Drug and health screenings may be required for some positions. Benefits - Generous leave. - Health plans. - Retirement contributions which take your total compensation beyond the number on your paycheck.

Role Description We are seeking a highly motivated Coding Quality Assurance Specialist to join our Coding Services team. This job can be performed 100% remotely, and out of state candidates will be considered. The primarily responsible is supporting and leading quality assurance for Coding Services staff through regular auditing of CPT/ICD10/etc selection of all coders, both abstraction and edits. The positions are expected to possess extensive knowledge regarding current rules and usage ICD 10 and CPT and apply those when auditing to their assigned specialties. The position is also expected to be able to assist in trending, coding analysis, coder feedback and providing education either individually or developing and presenting a group presentation. Essential Duties: - Serve as a coding expert for assigned specialties. - Maintain records of all audits in database for reference and trending. - Provide auditing of new and existing coders in conjunction with the Coding Services (CS) Department standards. - Using audits, monitor the quality of coding staff work as directed by Coding Services Management and identify areas of education. - Work with leadership and Coding Education Specialist to prepare presentations in regard to education to the team for targeted specialty areas and coding groups, based on audit results and trends. - Assist with researching coder questions and provide effective and accurate guidance, and provide supporting documentation for audits. - Identify and research correct coding for new CPT codes, as well as present this information to the team. - Identify provider education opportunities and coordinate with ACE, when trends in audits are identified that impact compliance or are the result of provider behavior. - Perform edit analysis to identify educational opportunities and edit modification. - Participate in optimizing work flows to support process improvement and identify additional/ongoing training needs. - Identify trends and work in tandem with management to enhance revenue cycle performance. Qualifications - CPC or AHIMA coding certification required. - CPMA a plus. - 2-4 years of working in a dedicated auditing position. - Strong knowledge of CPT and ICD 10 coding standards. - Skilled in navigating EMR systems and other auditing software. Requirements - All applications MUST be submitted via our website. - In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Benefits - CU Medicine provides generous leave, health plans, and retirement contributions which take your total compensation beyond the number on your paycheck. - Find information about our benefits here.

Role Description We are seeking a highly motivated Accounts Receivable Specialist to join our Accounts Receivable Resolution Team. This job can be performed 100% remotely, and out of state candidates will be considered. - Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service. - Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system to ensure progress is made on outstanding accounts. - Coordinate third party collections and work toward the successful reduction in outstanding balances for assigned divisions or projects. - Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed to achieve resolution. - Review and resolve uncollected accounts and prepare charge corrections. - Appeal carrier denials through review of coding, contracts, and medical records. - Verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed. - Advise management of any trends regarding insurance denials in an effort to identify problems with particular payers. - Complete required reports and assist with special projects as assigned. Qualifications - High school diploma. - Minimum of 1-2 years hands-on experience in a fast-paced medical billing environment. - Previous experience in a healthcare setting. - Familiarity with CPT and ICD-10 is required; CPC certification is a plus. - Strong communication skills and attention to detail. - Solid PC and application skills. - Ability to handle a very high volume of work with speed and accuracy. - Proven ability in collections and negotiation is highly preferred. - Ability to understand and apply contract language to billing. Requirements - All applications MUST be submitted via our website. - You may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. - You will not be penalized for redacting or removing this information. Benefits - Generous leave. - Health plans. - Retirement contributions which take your total compensation beyond the number on your paycheck.

Role Description We are seeking a highly motivated Revenue Cycle Supervisor to join our Accounts Receivable Resolution team. This job can be performed 100% remotely, and out of state candidates will be considered. The Revenue Cycle Supervisor is responsible for overseeing the day-to-day operations of the Accounts Receivable team, ensuring timely and accurate management of receivables, staff performance, and departmental compliance. - Oversee AR performance and trends - Monitor outstanding receivables daily, weekly, and monthly using IDX and reporting tools such as KaVart and MyBi. - Identify trends and discrepancies and implement corrective actions after consultation with the Accounts Receivable Resolution Manager. - Denial management and resolution - Analyze denial trends and collaborate with team members, peers, and insurance carriers to resolve issues and minimize financial impact. - Document findings, communicate changes, and lead training initiatives to educate staff on updated processes after managerial review. - Team leadership and supervision - Supervise assigned AR team(s) to ensure individual and team performance aligns with departmental standards and goals. - Foster a productive, collaborative, and positive work environment. - Performance monitoring and QA - Conduct monthly quality audits on a random sample of accounts, evaluating documentation accuracy, follow-up actions, denial handling, and claim resolution. - Deliver timely, constructive feedback and implement performance improvement plans as needed. - Staff training and development - Train new team members to ensure a thorough understanding of job responsibilities, policies, and system usage. - Provide ongoing education related to departmental policy updates, coding changes, and insurance regulations. - Maintain in-depth knowledge of IDX system functionality, CU Medicine processes, reporting tools, denial trends, human resources policies, and performance expectations. - Other duties as assigned. Qualifications - High school diploma required, Bachelor’s degree preferred - 5+ years of previous management/supervisory experience in a medical billing environment - Working knowledge of AMA coding guidelines, government and commercial payer regulations, insurance contract analysis, and denial resolution is required. - Must have experience and strong understanding of medical coding, billing, appealing denials, and collection of physician accounts receivable. - Must have proven leadership ability in the coordination of workflow for a staff of at least 10+ personnel in a high volume, highly complex environment. - Strong problem-solving skills and the ability to prioritize and delegate multiple tasks are required. - Must have high level verbal and written communication skills with the ability to professionally interact at all levels within the organization and with external partners/contacts. - Strong PC skills, including spreadsheet, word processing, and database applications are required. - Knowledge of IDX software platform and associated applications including BAR, TES, and PCS preferred. Requirements - All applications MUST be submitted via our website. - In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. - You will not be penalized for redacting or removing this information. - CU Medicine is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing non-discrimination in employment. - We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities. - CU Medicine is dedicated to ensuring a safe and secure environment for our staff and visitors. - To assist in achieving that goal, we conduct background investigations for all prospective employees prior to their employment. Benefits - CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. - Find information about our benefits here .

Role Description We are seeking a highly motivated Float Surgery Scheduler to join our scheduling team. This job can be performed 100% remotely, and out of state candidates will be considered. The Float Surgery Scheduler provides administrative support to physicians across all surgery divisions as it relates to the management of day-to-day interactions with our patient population. The individual in this position will function as the liaison between patients, physicians, and medical representatives for all non-clinical issues. Responsibilities include: - Coordinating day-to-day calendars and logistics for multiple physicians. - Managing surgical schedules across multiple sites of practice. - Scheduling surgical procedures. - Answering patient calls. - Verifying patient registration. - Completing insurance prior authorizations. - Ordering medical devices in advance of surgical procedures. - Coordinating patient care across multiple specialties. This position works with several clinical computer/electronic systems, and it is expected that with adequate training, the incumbent will become proficient in the required systems within the first 2 – 3 months of hire. This position requires a high level of interaction with internal and external customers. The Float Surgery Scheduler will function as a liaison between the patient and the physician for non-clinical issues. The Float Surgery Scheduler will not disseminate any clinical information such as diagnosis, test results, post-surgical care instructions, etc., and will be primarily focused on the scheduling of patient surgical procedures and performing administrative support duties. All clinical information will be communicated by a nurse or physician, and inquiries/requests related to such information will be directed appropriately. Essential Duties include: - Managing the assigned physicians’ clinical workload including answering patient phone calls and directing them appropriately. - Scheduling patient surgeries for the Division at all metro Denver UCHealth locations via Epic. - Obtaining and uploading all necessary documents to patient records prior to appointments and surgery. - Coordinating treatment care plans across multiple metro Denver UCHealth locations and specialties. - Managing the Surgical Procedure schedule for assigned physicians. - Performing high-level administrative assistant duties for assigned physicians as required, which includes handling patient and referring provider correspondence. - Responding to special patient requests, i.e., obtaining self-pay estimates, quotes for procedures, obtaining return to work letters, scheduling clinic visits and surgical procedures. - Generating various types of letters in EPIC and sending them to patients and referring physicians. - Calling and confirming upcoming surgery dates and appointments with patients. - Attending required meetings to facilitate communication of key information regarding patient scheduling or other activities related to the accomplishment of the Division’s clinical activities. Qualifications - High school diploma required. - Must have 2+ years of experience in a healthcare setting with exposure to complex patient scheduling. - EPIC experience highly preferred. - High level verbal and written communication skills in conjunction with professional phone etiquette. - Broad knowledge of medical front office operations and medical terminology. - Familiarity with insurance plans and ICD/CPT coding. Requirements - All applications MUST be submitted via our website. - In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. - You will not be penalized for redacting or removing this information. Benefits - CU Medicine provides generous leave, health plans, and retirement contributions which take your total compensation beyond the number on your paycheck. - Find information about our benefits here .

Role Description We are seeking a highly motivated Medical Claims Denial & Appeals Specialist to join our Accounts Receivable Resolution team. This job can be performed 100% remotely and out of state candidates will be considered. The Specialist is primarily responsible for resolving all insurance claim denials for assigned departments to enhance revenues for CU Medicine providers. The individual in this position will generate effective written appeals to carriers using well-researched logic. Denial Specialists are independently accountable for the denial resolution for their assigned divisions. - Appeal denials through coding review, contract review, medical record review and carrier interaction. - Demonstrate a high level of expertise in the management of complicated denied claims. - Deploy analytical approach to resolve denials and recognize trends/patterns in order to proactively resolve recurring issues. - Utilize a multitude of resources to ensure correct appeal processes are followed. - Communicate identified denial patterns to management. - Prioritize and process large volume of denials and maintain high quality of work. - Serve as an escalation point for unresolved denial issues. - Inform team members of payer policy changes. - Assist in training new employees as assigned. - Collaborate on special projects as needed. Qualifications - 3-5 years experience in medical practice billing with exposure to working with denials, appeals, insurance collections and related follow-up. - Bachelor’s degree in a related field is strongly preferred. - Must have ICD-10 and CPT coding assessment skills. - CPC certification is preferred. - Intermediate PC software experience required. - Advanced verbal and written communication skills are essential. - Must demonstrate a solid understanding and ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic. Requirements - All applications MUST be submitted via our website. - You may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. - You will not be penalized for redacting or removing this information. Benefits - Generous leave. - Health plans. - Retirement contributions which take your total compensation beyond the number on your paycheck.

Role Description We are seeking a motivated Provider Education Specialist with expertise in Orthopedics & Surgical Specialties to join our Audit, Compliance & Education team. This job can be performed 100% remotely and out of state candidates will be considered. The Provider Education Specialist will provide formal and informal coding and regulatory education to all attending Physicians, Residents, Advanced Practice Providers, and learners involved with the billing for professional services. The education will include coding and documentation requirements as directed by Federal and State requirements as well as the AMA. The individual in this position will serve as a liaison between internal CU Medicine departments, CU School of Medicine (SOM) departments, and faculty. Responsibilities of the Provider Education Specialist include but are not limited to: - Under the direction of leadership design, create, revise and update education materials in Articulate, Panopto, Word and PowerPoint. - Develop content and education materials related to coding and documentation requirements as directed by Federal and State requirements as well as the AMA. - Provide educational sessions for Physicians, Residents, Advanced Practice Providers, and learners involved in professional services billing. - Sessions may be for new physicians or to present new information including yearly updates and changes in requirements as needed. - Conduct follow-up reviews after initial training, determine if additional education is necessary and provide any additional training once identified as a need. - Revise and update all education materials under the direction of the Education Manager which includes revisions of materials used by Audit, Compliance & Education staff. - Communicate and problem solve with Administrators, Physicians, and Managers, on specific documentation issues and/or training requests. - Collaborate with Education Manager, DFA’s and individual providers to manage new provider orientation process. - Maintain up-to-date knowledge of current changes and trends in the health care industry. - Perform other duties and assist with special projects as assigned. Qualifications - Requires a bachelor’s degree in healthcare administration (or related field) or equivalent/relevant work experience. - Minimum of 3+ years of education experience (provider or coder education, but provider is preferred). - CPC or CCS required. - CPMA certification a plus (must be obtained within 1 year of hire). - The ability to speak comfortably and effectively in front of large audiences is essential to success. - Strong written and verbal communication skills. Requirements - All applications MUST be submitted via our website. - In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. - You will not be penalized for redacting or removing this information. Benefits - CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation beyond the number on your paycheck. - Find information about our benefits here .

Role Description We are seeking a highly motivated and self-driven Healthcare Customer Service Representative who possesses the capacity to think outside the box and is excited about the opportunity for professional growth and advancement. Bilingual individuals (English/Spanish) are eligible for a language pay differential of $1.50/hr on top of current pay rates. Language testing will be deployed for all qualified candidates to ensure bilingual skills are at the proficiency level needed to meet the expectations/requirements of the job. This job is 100% remote and out of state candidates will be considered. The goal of the Healthcare Customer Service Representative will be to elevate the CU Medicine patient experience by addressing questions/concerns and fielding correspondence requests primarily received via phone in a call center environment. The ideal candidate will demonstrate the ability to successfully multitask and alternate between multiple programs. - Receive and bring to resolution up to 60 calls daily in a fun, fast-paced, metric-driven environment. - Interact directly via phone with patients, affiliate partners, payers, and healthcare providers. - Collect payments and/or provide guidance on payment options for outstanding balances. - Update accounts with new or corrected information; request itemized statements &/or re-bill claims when appropriate. - Explain medical bills and identify deductibles, coinsurance, copays and other patient financial responsibilities. - Utilize analytical thinking for account research and reconciliation. - Manage all interactions in a positive, caring manner. - Perform specialized tasks as assigned by the manager and/or supervisor. Qualifications - High school diploma or equivalent. - Minimum of 2 years’ healthcare experience, preferred 2 years of medical billing and direct patient contact in call center environment with exposure to insurance billing and medical terminology. - Technically proficient. - Advanced verbal and written communication skills. - Strong interpersonal skills. - Professional maturity and ability to exercise sound judgement are essential. - Written/verbal fluency in both English and Spanish is preferred. Requirements - Background investigations for all prospective employees prior to their employment. - Drug and health screenings may be required for some positions. Benefits - Generous leave. - Health plans. - Retirement contributions which take your total compensation beyond the number on your paycheck.

Role Description We are seeking a highly skilled EPIC Clarity Data Analyst to join our Operational Analytics and Automation team. This job can be performed 100% remotely and out of state candidates will be considered. The EPIC Clarity Data Analyst will interpret and transform data into accurate, consistent, and timely information while balancing the "big picture" strategic vision with everyday details. The individual in this position will play a key role in the transformation of vast amounts of clinical and business data into meaningful datasets that provide key actionable insights. Position will be responsible for querying EPIC Clarity and AthenaIDX data. The Analyst will be responsible for managing full lifecycle analysis with emphasis on delivery of actionable reporting to fulfill Revenue Services goals. - Utilize EPIC Clarity to develop reports and dashboards that are timely, relevant, reliable and predictive in nature. Similar reporting/dashboarding in other business applications (i.e. AthenaIDX, Denodo, etc.) is also required. - Interpret data, analyze results, and provide actionable reports to stakeholders. - Collaborate with CU Medicine Revenue Services leadership to prioritize business and information needs. - Develop data collection processes and other strategies optimizing efficiency and overall quality of reporting deliverables. - Identify, analyze, and interpret trends or patterns in complex data sets. - Acquire data from primary/secondary data sources and ensure consistency/accuracy of analytics ecosystems across multiple platforms. - Perform other duties and assist with special projects as assigned. Qualifications - Bachelor’s degree in statistics, computer science or business-related area. - 2+ years relevant experience, preferably in a physician billing or hospital environment. - Prior/current experience building dashboards with data visualization tools such as Tableau, Power BI, or similar platforms. - Track record of success as a healthcare data analyst or similar business analyst. - Epic Clarity Data Model Certification is required; experience using AthenaIDX is preferred. - Intermediate-advanced SQL Proficiency; experience using STATA or similar data science tool/language (Python or R) is helpful. Requirements - Strong analytical competency with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. - Strong project management skills with the ability to advance project progress within a timeline. - Must be flexible and maintain positive working relationships. Benefits - Generous leave. - Health plans. - Retirement contributions which take your total compensation beyond the number on your paycheck.