*Description*
Manage full revenue cycle billing process:
Approve claims, batch files, transmit to clearinghouse, and reconcile responses.
not doing eligibility or verification of benefits
Post payments and resolve rejections or denials.
Investigate and correct issues related to payer setup, authorizations, and clearinghouse workflows.
Work within CareLogic (Qualifacts) EHR and Inovalon clearinghouse (training provided if unfamiliar).
Collaborate with finance leadership and program staff to troubleshoot billing discrepancies.
Maintain accuracy and timeliness in claim submission and payment posting.
Assist with workflow improvements and documentation of new processes.
*Additional Skills & Qualifications*
2+ years of medical billing experience (clinic or similar setting preferred).
Strong understanding of RCM processes (start-to-finish billing cycle).
Experience with Medicaid billing, especially Colorado Medicaid (Medicaid waiver experience is a plus).
Familiarity with electronic health records (CareLogic preferred) and clearinghouse systems.
Ability to identify and resolve claim denials and rejections.
Excellent communication skills for interacting with internal teams.
Detail-oriented and proactive in problem-solving.
Ability to troubleshoot, communicate professionally, and work autonomously.
*Preferred:*
Experience with Qualifacts CareLogic and Inovalon clearinghouse.
Knowledge of behavioral health or early intervention billing processes.
Ability to work independently and adapt to evolving workflows.
#westpriority25
*Job Type & Location*This is a Contract to Hire position based out of Lakewood, CO.
*Pay and Benefits*The pay range for this position is $21.00 - $28.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
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