Peak Vista Community Health Centers is a non-profit healthcare organization whose mission is to provide exceptional healthcare to people facing access barriers.  We provide primary care services (medical, dental and behavioral healthcare) through 28 outpatient health centers in El Paso, Teller, Lincoln, Adams, Arapahoe, Elbert, and Kit Carson counties.  We deliver care with our strong “Hospitality” culture.  Our organization has over 800 employees and serves 90,000 patients in the Pikes Peak & East Central Plains region.  Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Job Summary:  The Patient Accounts Representative – Eligibility support billing functions.
                                                                                                                               
Essential Duties and Responsibilities include the following.  Other duties may be assigned. 
 

• Responsible for understanding the billing details and requirements for all third party payors and miscellaneous programs.
• Enters and/or approves data into the computer system according to appropriate guidelines to ensure that PVCHC accounts receivable is correct.
• Third party billing via electronic, Web portal or hardcopy formats.
• Posting payments and adjustments with appropriate codes.
• Coordination of member benefits.
• Adjusting member accounts based on updated information.
• Coordinates HMS eligibility and billing activities.
• Identifies trends in the HMS process and assists with staff education to complete activities.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
                                                                                          
Education/Experience:
 
Education: High School Diploma or equivalent required.
Work Experience: Medical terminology desired, understands medical and financial confidentiality, minimum 1-2 years experience in medical billing desired, minimum 1-2 years experience in health related field desired.
 
Language Ability:
Must have superior communication and customer service skills
 
Math Ability:
Payment balancing experience desired. ICD-10 and CPT-4 coding desired.
 
Reasoning Ability:
Ability to handle multiple tasks simultaneously in a timely manner, ability to communicate
in person, by phone and in writing in a clear, concise and professional manner, ability to reason and prioritize responsibilities effectively and ability to resolve problems with minimal assistance.
 
Computer Skills:
Data entry skills required, expedient and accurate use of 10 key and basic computer
skills required.
 
Certificates and Licenses:


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
The employee must occasionally lift and/or move up to 50 pounds. While performing the duties of this Job, the employee is regularly required to sit. The employee is occasionally required to stand and walk.



*Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol free workplace an an Equal Opportunity Employer.