Job Description

We do have a partially remote (hybrid) work option available after completion of the initial training period.

You can be a medical biller anywhere, but here you can make a difference. You can be that calm voice on the phone who reassures a patient. You will provide indispensable expertise that helps our health care providers get paid for their services. At the same time, you’ll serve as a patient advocate in settling accounts and helping to decipher the complexities surrounding insurance claims.  In this role, you help both the patient and the professional optimize the insurance benefit. And you can be proud that you are serving in an industry that helps countless people every day!

Western Nephrology’s reputation is to provide a high quality of care to our patients.  We are a private, local Company with strong ties to this community for 50 years, but we’re still small enough to provide a personal touch to patients.

This role offers an amazing team with a collaborative work environment. We need a strong team player who is passionate and enthusiastic about helping people. You must work hard and be computer savvy, fast on the numeric keypad, and excellent at maintaining precision when entering and processing data. The successful applicant must possess a solid understanding of medical billing concepts and excellent written and verbal communication skills.  We hire people that have a *positive attitude* and genuinely love what they do.  This is a full-time position. Days and hours of work are Monday through Friday, 8:30 a.m. to 5:00 p.m. 

We offer medical, dental, vision, life, disability, 401k, PTO, and paid holidays!!

Pay: $17.00 – $20.00 per hour

Key Responsibilities:

• Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information.
• Submit insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
• Answer patient questions on patient responsible portions, copays, deductibles, write-offs, etc.
• Follow up with insurance company on unpaid or rejected claims.
• Resolve issue and re-submit claims within standard billing cycle timeframe.
• Prepare appeal letters to insurance carrier when not in agreement with claim denial.
• Work with patients to establish payment plan for past due accounts.
• Provide necessary information to collection agencies for delinquent or past due accounts.
• Post insurance and patient payments using medical claim billing software.
• Perform collections for patient past due accounts.

Basic Qualifications:

High school diploma or equivalent.

Two years medical billing experience.

Preferred Skills/Experience:

Certified Professional Coder a plus.

Bilingual English/Spanish a plus.

Strong customer service skills

EMR experience

Ability to establish and maintain effective working relationships with patients and employees.

Basic understanding of medical ICD 9 & ICD 10 codes and CPT medical billing codes.

Detail oriented, well organized and ability to prioritize work.

Familiarity with HIPAA privacy requirements for patient information.

Good telephone and patient relation skills.

Knowledge of basic medical coding and third-party operating procedures and practices especially Medicare and state Medicaid.

Western Nephrology is an Equal Opportunity Employer.  We provide equal employment opportunity to all qualified individuals regardless of race, color, religion, sex, age, national origin, citizenship, veteran status, disability, sexual orientation, gender identity, genetic information, or any other factor protected by applicable federal, state or local law.

About Western Nephrology:

Western Nephrology, the premier Nephrology practice in the Denver Metropolitan area, began business in 1968 caring for people with kidney disorders. Today, Western Nephrology provides consultative services at numerous hospitals along the Front Range communities. The practice is comprised of 21 board certified Nephrologists at 8 clinics treating patients for a variety of nephrological conditions including acute kidney injury, hypertension, chronic kidney disease and End Stage Renal Disease. In addition to their hospital work, its providers and staff care for patients at nephrology clinics, dialysis clinics and rehabilitation centers.

The mission of Western Nephrology is to provide the highest quality, compassionate medical care for patients with kidney disease. The physicians and staff of Western Nephrology operate with integrity and compassion and value our relationships with patients, health partners and community. We practice medicine in the most comprehensive, evidence-based approach possible. Through collaboration, integration, innovation and use of technology we maintain our position at the forefront of evolving healthcare delivery models that improve quality of life, outcomes and cost.  Our Values include:

• Positive Patient Experiences: Exceed patient expectations in every encounter
• Valuing People: Show compassion and respect for others
• Continuous Learning: Be willing to learn, grow and accept change
• Accountability: See through to completion all responsibilities and commitments
• Positive Communication: Communicate in a productive and professional manner
• Professionalism: Exhibit professionalism in communication, actions and work environment
• Stewardship: Consider the greater good over self-interest; demonstrate integrity

How to Apply

Job Types: Full-Time.

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