Revenue Cycle Specialist

DescriptionUniversity of Colorado │ Anschutz Medical Campus
School of Medicine - Department of Psychiatry
Business Services Senior Professional - Revenue Cycle Specialist
Position #00778509 – Requisition #19189* Applications are accepted electronically ONLY at www.cu.edu/cu-careers *The University of Colorado Anschutz Medical Campus seeks individuals with demonstrated commitment to creating an inclusive learning and working environment. We value the ability to engage effectively with students, faculty and staff of diverse backgrounds.The Department of Psychiatry has an opening for a full-time University Staff (unclassified) Revenue Cycle Specialist position.The University of Colorado Anschutz Medical Campus is a public education, clinical and research facility serving 4,500 students, and a world-class medical destination at the forefront of life-changing science, medicine, and healthcare. CU Anschutz offers more than 42 highly rated degree programs through 6 schools and colleges, and receives over $500 million in research awards each year. We are the single largest health professions education provider in Colorado, awarding nearly 1,450 degrees annually. Powered by our award-winning faculty, renowned researchers and a reputation for academic excellence, the CU Anschutz Medical Campus drives innovation from the classroom to the laboratory to the delivery of unparalleled patient care. Read CU Anschutz Quick Facts here. The University of Colorado Anschutz Medical Campus, one of four campuses in the University of Colorado System, is the major academic medical center in the Rocky Mountain region. The Anschutz Medical Campus is home to the University of Colorado Hospital, Children's Hospital Colorado and a new Veterans Affairs Hospital, making it one of the largest and most comprehensive biomedical research and clinical care centers in the western United States. With world-class health sciences research, educational and clinical facilities, the CU School of Medicine has established distinctive and highly productive programs, receiving research awards of more than $350 million per year, including more than $200 million from National Institutes of Health and other federal agencies. The School's total annual clinical and research revenue exceeds $1.2 billion per year.
The University of Colorado School of Medicine, Department of Psychiatry has just welcomed their new Department Chair, C. Neill Epperson, MD and is in the process of growing the Department of Psychiatry with new programs and expanding existing programs.Job Summary:
Revenue Cycle Specialist is responsible for all aspects of Behavioral Health billing and coding in the areas of Psychology/Psychiatry direct patient care, Addiction Medicine, Tele-Behavioral Health and Integrated (embedded) Behavioral Health. This position will also work with the Finance Team to disseminate quarterly productivity reports to individual providers with their faculty and administrative leadership.

Examples of Work Performed:

• Responsible for all aspects of Behavioral Health billing and coding in the areas of Psychology/Psychiatry direct patient care, Addiction Medicine, Tele-Behavioral Health and Integrated (embedded) Behavioral Health.


• Create billing and coding training materials for providers and trainees and perform education as needed.


• Review documentation on a regular basis and communicate opportunities for improved documentation, templates, and correct coding to individual providers.


• Work with the Finance Team to disseminate quarterly productivity reports to individual providers with their faculty and administrative leadership. Identify opportunities for improvement or exemplars to be used in training.


• Work closely with program leadership in each Division to improve reporting and operations in clinics to address revenue cycle opportunities. Work with University Hospital and Children’s Hospital leadership to ensure correct facility billing and to develop appropriate reporting methods.


• Interface with CU Med Liaisons, ACE, and A/R departments for documentation, training for new Behavioral Health providers and pursuing new billing/reimbursement trends.


• Respond to inquiries from insurance carriers, via telephone, email or fax and demonstrate a high level of customer service.


• Train clinical staff regarding insurance verification needs and communication with patients about insurance and payment issues.


• Work closely with CU Medicine to ensure that claims are reimbursed appropriately and that correct codes and licensures are listed in the contracts. Work with CU Medicine A/R to ensure charge corrections, if needed.


• Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed to achieve resolution.


• Work with CU Medicine to appeal carrier denials through review of coding, contracts, and medical records.


• Train staff to verify patient benefit eligibility/coverage and research ICD-10 diagnosis and CPT treatment codes as needed.


• Advise management of any trends regarding insurance denials in an effort to identify problems with particular payers.


• Complete required reports and assist with special projects as assigned.


• Be familiar with Behavioral Health carve out plans, benefits, copays, H&B coding, and regulatory issues involving Behavioral Telehealth and Telepsychiatry.

Salary and Benefits:Salary is negotiable and commensurate with skills and experience. This position is not eligible for overtime compensation.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.

Benefits: https://www.cu.edu/employee-services/benefits
Total Compensation Calculator: http://www.cu.edu/node/153125Diversity and Equity: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 hr.adacoordinator@ucdenver.edu. The University of Colorado Denver | 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 and all veterans. The University of Colorado is committed to diversity and equality in education and employment.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.

QualificationsMinimum Qualifications:

• A bachelor’s degree in business, business administration, finance, accounting, education, social sciences, healthcare administration, public administration, communications, information systems, or a directly related field from an accredited institution.


• Two (2) years of professional level experience in a large medical group medical/behavioral health billing environment.

Substitution: A combination of education and related technical/paraprofessional experience may be substituted for the bachelor’s degree on a year-for-year basis, but not for the specific 2 years of experience.Preferred Qualifications:

• Previous experience in an integrated healthcare setting, preferably Behavioral Health focused.


• Certified Professional Coder (CPC) certification preferred. CPC required within 1 year of employment.


• Experience with electronic medical records or billing / financial systems. (EPIC)


• Familiarity with CPT, ICD-10 and DSM-5


• Experience creating training materials, providing feedback and education, and presentation skills are highly desired.


• Experience in collections and negotiation is highly preferred.

Competencies:

• Ability to communicate effectively, both in writing and orally.


• Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.


• Outstanding customer service skills.


• Demonstrated commitment and leadership ability to advance diversity and inclusion.


• Ability to problem solve, multi-task and exercise good judgement.


• Ability to maintain a high level of confidentiality in a matrix environment.


• Ability to handle a very high volume of work with speed and accuracy


• Ability to understand and apply contract language to billing.

Job Category: Business Services
Primary Location: Aurora
Schedule: Full-time
Posting Date: Sep 10, 2020
Unposting Date: Ongoing