Bilingual Patient Billing Representative

Job Summary:

The University of Colorado, College of Nursing is seeking a Patient Billing Representative for a full-time (1.0 FTE), benefits-eligible position within its federally qualified community health center, Sheridan Health Services (SHS), in southwest Denver, CO (zip code: 80236).  This position will be primarily responsible for verifying patient insurances prior to visits, as well as for communicating in English and Spanish to knowledgeably relay coverage information to patients, collect payments and expertly answer balance questions, contact patients about coverage, balances, or other information pertinent to billing.

Sheridan Health Services is a multi-site, nurse-managed federally qualified community health center, funded through the Health Resources and Services Administration Bureau of Primary Healthcare; and is a collaborative effort between the College of Nursing and the Sheridan School District. There are now ~45 employees at two convenient locations to serve community health needs primarily for residents of Arapahoe, Denver and Jefferson counties. A Youth Health Clinic is located in the Sheridan School District Administration building. The Family Health Clinic is located in southwest Denver on the Fort Logan campus and provides services to adults and children, 65% of whom identify at Latinx, and 42% of whom are best served in another language, with Spanish being the predominant second language. Services offered include primary care across the lifespan; prenatal and postpartum, gynecology, dentistry, pharmacy, behavioral health, and outpatient substance abuse treatment. Sheridan Health Services is a Patient-Centered Medical Home, and as such we uphold a model of care that places the patient at the center, incorporating the values and beliefs of the patient in all decision- making. We extend the reach of the clinic through public health outreach where nursing students provide community outreach, health education, and home visitation services. https://nursing.cuanschutz.edu/patient- care/sheridan-health-services

Key Responsibilities:

1.     Verifying Patient Insurance/ Scrubbing Schedules

• Verifies scheduled patient insurance eligibility prior to their appointment and contacts patient to ensure all information is up to date and accurate.
• Verifies all uninsured patients on the sliding scale discount program are still effective and if have not applied yet will coordinate with Outreach and Enrollment for application appointments.
• Assist patients with insurance network questions and coverage for Medical (Adult and Pediatric), Behavioral Health and Dental services.

2.     Contact Patients on Collections/ Bad Insurance/ Expired Slides/ Bad Addresses

• Contacts patients when coverage is inactive, expired, or out of network. Follow up on insurance information issues as indicated by billing team at charge entry and claim submission.
• Contacts patients when demographic information is incorrect, such as current address or contact information.

3.     Assist with Patient Balance Questions

• Assists patients at check out and via phone for charge costs, balance questions, and payment options.
• Be available to front desk personnel to assist patients with detailed insurance and charge questions to minimize front desk flow disruptions.

4.     Charges and Accounts Receivable

• Assists Billing Coordinators to ensure that billing and coding functions are timely and being performed accurately and in compliance with established policies and procedures, state, and federal laws, FQHC guidelines, and public and private insurance plan/program requirements.
• Performs follow up on claim issues as designated by Billing Coordinator in Tasks within EHR.
• Assist billing team with reporting projects as needed.

5.     Payment Reconciliation

• Works on payment reconciliation projects within all service lines to create accurate and well-documented payment logs that are appropriate to services rendered.
• Assist in monthly reporting projects for revenue as needed. Work with Finance and Billing team on special projects for grants and reporting.

6.     Patient Payment Collection

• Assists with clinic collection efforts by mail, by phone, by electronically automated processes, and in person.
• Works with Finance team and third-party billing department to establish patient account collection processes. Place clinic calls to patients with outstanding balances to collect on balances due.
• Offer payment plan options to patients for balances, documents the agreements, and reviews compliance on accounts.
• Review accounts prior to turning over to collection agency and upload data to the collection agency website monthly.

7.     Front Desk Payment Collection

• Evaluates daily work performed by clinic receptionists to assure accurate insurance/payment data is input at both time of check-in and check-out.
• Assists with issuing daily change banks to receptionists, makes change when needed, and keeps all change banks reconciled.
• Assists with collecting change banks and daily deposit funds/reports at end of day from receptionists.
• Reviews and reconciles daily deposit report to entries in daily batch submittals.
• Reviews credit card reports for accuracy daily.

8.     Other Duties as Assigned 

Work Location:

Sheridan Health Services - 3525 W. Oxford Avenue | Unit G1 Denver, CO 80236

Why Join Us:

CU Nursing is an amazing place to be. We have the distinct advantage of being a part of a huge medical campus with three incredible hospitals – the VA, the nationally ranked University of Colorado Hospital, and the Children’s Hospital Colorado where our nursing students and faculty learn every day. From our beginning 125 years ago as part of the School of Medicine at CU Boulder to our current home at the Anschutz Medical Campus, the college has been a recognized leader in nursing education (ranked #10 in online MS graduate programs by U.S. News & World Report 2023). Our faculty, students and staff have been instrumental in shaping the profession of nursing and teaching the next generation of nurses while treating patients in our own nurse-led clinics. Be a part of an innovative, dynamic, diverse, and exciting workplace -- helping make great things happen.  Join us in our quest to boldly transform health together. 

The University of Colorado offers a comprehensive benefits package that includes health insurance, life insurance, retirement plans, tuition benefits, ECO pass, paid time off – vacation, sick, holidays and more. To see what benefits are available, please visit: https://nursing.cuanschutz.edu/about/careers/benefits

Diversity and Equity:

The University of Colorado Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty, and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication and understanding. We encourage applications from women, ethnic minorities, persons with disabilities, persons within the LGBTQ+ community, and all veterans. The University of Colorado is committed to diversity and equality in education and employment.

  Qualifications:

Minimum Qualifications:

• Two (2) years of technical accounting experience.

Substitution:

• College, university, or non-correspondence business school coursework may substitute for the technical accounting experience on a year-for-year basis.

Note: Technical accounting describes work in support of professional accounting operations by processing financial transactions and maintaining accurate and complete records of transactions. Keeping accurate and complete records typically utilizes at least three of the following four function areas: recording, classifying, verifying, and reporting.

Applicants must meet minimum qualifications at the time of hire.

Conditions of Employment:

• Must be willing and able to utilize bilingual skills (Spanish/English) at a conversation level in a clinical setting.
• Must be willing and able to work in a normal patient care environment with some exposure to biological hazards and infectious diseases.
• Must be willing and able to pass a sex offender background check.
• Must be willing and able extended hours shifts and on weekends on an infrequent, as needed basis

Preferred Qualifications:

• Experience with payment collection and/or billing in a clinical environment
• One (1) year of experience working with an electronic health record.
• Experience creating PivotTables in Microsoft Excel.

Knowledge, Skills, and Abilities:

• Ability to communicate effectively, both in writing and orally
• Ability to establish and maintain effective working relationships with all employees throughout the workplace
• Outstanding customer service skills
• High level of attention to detail and accuracy
• Ensure patient privacy and confidentiality within regulatory guidelines including but not limited to HIPAA and 42 CFR part2
• Exemplary organizational skills and ability to prioritize effectively.
• Solid PC and application skills required, particularly with Excel.
• Ability to handle high volume of work with speed and accuracy.
• Ability to understand and apply insurance contract language to claims billing.
• Experience with public and private insurance contracts, particularly with Medicare and Colorado Medicaid.

How to Apply:

For full consideration, please submit the following document(s):

1.     A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position

2.     Curriculum vitae / Resume

3.     Three to five professional references including name, address, phone number (mobile number if appropriate), and email address

College of Nursing Human Resources at [email protected]

Screening of Applications Begins:

Applications will be accepted until the position is filled.

Anticipated Salary Range:

The hiring range for this position has been established at $41,808 to $51,845.

The above hiring range represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting. 

This position may be eligible for overtime compensation depending on the level.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.

Total Compensation Calculator: http://www.cu.edu/node/153125

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at [email protected] ​.

Background Check Statement:

The University of Colorado Denver | Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

  Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases . If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program .