<p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">We are seeking a highly motivated Medical Claims Denial & Appeals Specialist to join our Accounts Receivable Resolution team.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><strong><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">This job can be performed 100% remotely and out of state candidates will be considered.</span></strong></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">The <span style="color: black;">Specialist </span>is primarily responsible for resolving all insurance claim denials for assigned departments to enhance revenues for CU Medicine providers. The individual in this position will generate effective written appeals to carriers using well-researched logic. Denial Specialists are independently accountable for the denial resolution for their assigned divisions.  </span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Duties and responsibilities include but are not limited to the following:</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Appeal denials through coding review, contract review, medical record review and carrier interaction.  </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Demonstrate a high level of expertise in the management of complicated denied claims. </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Deploy analytical approach to resolve denials and recognize trends/patterns in order to proactively resolve recurring issues.  </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Utilize a multitude of resources to ensure correct appeal processes are followed. </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Communicate identified denial patterns to management.  </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Prioritize and process large volume of denials and maintain high quality of work.  </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Serve as an escalation point for unresolved denial issues.  </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Inform team members of payer policy changes.<em>  </em></span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Assist in training new employees as assigned.  </span></li> <li style="margin-top: 0in; margin-right: 0in; margin-bottom: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Collaborate on special projects as needed.</span></li> </ul> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">Requires 3-5 years experience in medical practice billing with exposure to working with denials, appeals, insurance collections and related follow-up; bachelor’s degree in a related field is strongly preferred.  Must have ICD-10 and CPT coding assessment skills, <strong>CPC certification is preferred</strong>.  Intermediate PC software experience required.  Advanced verbal and written communication skills are essential.  Must demonstrate a solid understanding and ability to apply contract language in conjunction with a comprehensive understanding of claims denial appeal logic.  </span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">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.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">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.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">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. </span></p> <p style="margin-right: 0in; margin-left: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">The listed pay range (<em>or hiring rate</em>) 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.</span></p> <p style="margin-right: 0in; margin-left: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">A variety of factors, including but not limited to, internal equity, experience, and education will be considered when determining the final offer.</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;">CU Medicine provides generous leave, health plans and retirement contributions which take your total compensation <span style="color: black;">beyond the number on your paycheck.</span>  Find information about our benefits </span><span style="color: blue; text-decoration: underline;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif;"><a rel="noopener" href="https://www.cumedicine.us/about-cu-medicine/employment-opportunities/benefits" target="_blank">here</a>.</span></span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">CU Medicine will post all jobs for a minimum of 7 days or until 250+ applicants have been received (whichever comes first).</span></p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"><span style="font-size: 11.0pt; font-family: Calibri, sans-serif; color: black;">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.</span></p> <p style="margin: 0in; line-height: 18pt; background: white; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p> <p style="margin: 0in; font-size: 12pt; font-family: 'Times New Roman', serif;"> </p>