Revenue Cycle Specialist - Medicaid
Denver Health - Denver, CO

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Under general supervision, ensure optimal reimbursement for hospital or provider billing on inpatient and outpatient accounts. Provides customer service, billing, timely follow-up, cash application processes, reconciling payer remittance, denial management and appeal functions for claims
to government or grant funded programs, worker’s compensation, commercial insurance. Provides
financial guidance on self pay accounts. Interprets explanation of benefits. Investigates delinquent
accounts for legal liability. Acts as liaison support between the Hospital and Physician Business Services departments and third party payers and other Denver Health departments. Utilizes various software
applications and information systems to perform work processes.

Minimum Qualifications

Education: High school diploma or GED certificate. Associate’s Degree in business or related field

Experience: Typically, three years of recent experience in a hospital/medical office setting
performing a variety of duties.

Knowledge, Skills & Abilities: Knowledge and understanding of insurance benefit plans and
explanation of benefits. Have current knowledge of regulatory requirements and codes. Skill sets to
include 10-key by touch, typing a minimum of 25 words per minute (WPM) and, basic skills in word
processing and spreadsheet applications. Strong written and verbal communication skills, analytical
thinking, high level of computer accuracy, and organization and problem solving skills. Ability to
prioritize work activities with minimal supervision, in an individual and team setting. Easily adapt to
change. Ability to utilize various software applications and information systems to perform work processes. Bilingual Skills preferred.

Certificate/License/Registration: Certificate in healthcare/coding related course from an accredited school preferred.

Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 500-bed acute care medical center, Denver’s 911 emergency medical response system, eight family health centers, 13 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, an off-site 100 bed non-medical detoxification unit and The Denver Health Foundation.
As Colorado’s primary safety net institution, Denver Health is a mission-driven organization that has provided more than $4 billion in care for the uninsured since 1991. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving thirty percent of all Denver residents, or approximately 160,000 individuals and 40% of Denver’s children.
Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

About this company
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When you live a mile high, you sometimes need a safety net; that's where Denver Health and Hospital Authority comes in. Though it...