The posting
University of Colorado Medicine (CU Medicine) is the region's largest and most comprehensive multispecialty physician group practice. At our primary and specialty care clinics across the Denver metro area and Front Range, CU Anschutz School of Medicine physicians and advanced practice providers bring the latest medical knowledge and new advancements to the care they provide every day. CU Medicine also provides business operations, revenue cycle and administrative services to support the patients of CU Anschutz School of Medicine providers.
We are seeking a highly motivated Accounts Receivable Specialist to join our Accounts Receivable Resolution (ARR) team.
This job can be performed 100% remotely, and out of state candidates will be considered.
The Accounts Receivable Specialist will be responsible for Coordinates third-party account receivable activities to ensure timely resolution and recovery of outstanding balances for assigned departments or projects. Functions with a high level of independence and expertise in insurance follow-up, denial management, payer dispute resolution, and account investigation. Identifies denial trends, payer issues, and workflow opportunities to improve reimbursement outcomes. Maintains accountability for the AR performance of assigned work queues and works collaboratively with team and leadership to achieve resolution.
Essential Duties:
Meet established productivity and quality standards.
Review, investigate, and resolve outstanding accounts through assigned work queues, reports, and other available resources.
Follow up on unpaid, denied, underpaid, or incorrectly processed insurance claims to secure appropriate reimbursement.
Review Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence to determine appropriate action.
Prepare and submit reconsiderations, disputes, and appeals, including the collection and review of supporting documentation when claim determinations are not appropriate.
Obtain claim, payment, and denial status information through payer portals, telephone contact, email, fax, and written correspondence.
Collaborate with insurance carriers, providers, and internal departments to resolve claim and reimbursement issues.
Identify denial trends, reimbursement barriers, and payer processing issues and communicate findings to leadership as appropriate.
Maintain thorough and accurate documentation of account activity in accordance with departmental standards.
Prioritize and manage a high-volume workload while ensuring timely and accurate account resolution.
Provide professional and responsive customer service when interacting with insurance carriers, patients, providers, and internal stakeholders.
Requirements:
Previous experience in medical billing, accounts receivable, insurance follow-up, or denial management experience.
Working knowledge of healthcare reimbursement methodologies, payer guidelines, and insurance billing practices.
Ability to interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and payer correspondence.
Familiarity with CPT, HCPCS, and ICD-10 coding concepts sufficient to support denial research and claim resolution.
Knowledge of claim appeals, reconsiderations, and dispute processes.
Intermediate proficiency in Microsoft Office applications and payer portal navigation.
Strong analytical, organizational, and problem-solving skills.
Excellent verbal and written communication skills.
Demonstrated attention to detail and ability to manage a high-volume workload with accuracy and efficiency.
Ability to work independently and effectively prioritize competing deadlines.
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. The listed pay range (or hiring rate) represents CU Medicine’s good faith and reasonable estimate of the range of possible compensation at the time of posting and is based on evaluation of competitive market data. A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer. 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.
CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first).
CU Medicine supports a Tobacco Free Workplace Environment which prohibits smoking and the use of tobacco products on CU Medicine property, Anschutz Medical Campus and adjacent business locations.
