Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 22 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $16.25.18 to $23.20/hourly, based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD
• 403(b) Retirement with Company Match
• Paid Time Off
• Tuition Assistance
• Perks Rewards
• Employee Assistance Program

https://www.peakvista.org/resources/benefits-summary

Summary: The Patient Accounts Representative – Eligibility support billing functions.

Essential Duties and Responsibilities include the following:    

• 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.
• Ability to reconcile payments to patient accounts with appropriate codes.
• Coordination of member benefits.
• Adjusting member accounts based on updated information.
• Performs other duties as assigned.

Supervision Received: Patient Accounts Manager

Supervision Exercised: None

Suggested Competencies:

• Customer Focus – Monitors client satisfaction. Establishes partner relationships with clients
• Oral Communication – Communicates well one on one
• Attendance and Punctuality
• Resourcefulness – Passionately finds ways over, around, or through barriers to success

Contributes to a culture of kindness. Adheres to assigned schedules. Displays a willingness to learn. Effectively adapts to departmental and organizational changes. The Patient Accounts Representative – Eligibility position and job functions are a value-added service requiring commitment to Peak Vista's Core Values. Must also display strong detailed oriented skills with the proven ability to multitask.

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 year of customer service experience required. ICD-10 and CPT-4 coding desired. Payment balancing experience desired.

Language Ability: Must have superior communication and customer service skills

Math Ability: REMOVE Payments & ADD Payments - Patient Accounts 

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: None

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details.

The noise level in the work environment is usually quiet.

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.