Revenue Cycle Specialist

Job Description

Description:

Who we are:

At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare-we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally qualified healthcare centers (FQHC), we offer comprehensive services-including primary care, dental, pharmacy, behavioral health, health education and outreach services across 13 clinics in the Denver Metro area.

With over 35 years of experience serving our community, our growing team is at the heart of our mission. We believe healthcare is about more than treating illness; it is about fostering wellness and addressing the unique needs of every patient, ensuring no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives-including your own, STRIDE is the place for you.

General Purpose:

This position is critical to the success of the revenue cycle. Bill and collect payments for services rendered from a variety of payor sources. The Patient Accounts Billing Specialist is responsible for timely and accurate coding, billing, claim denials, and payment posting.

Essential Duties and Responsibilities:

Resolve issues with incomplete and/or inaccurate patient registration

Verify charges were entered correctly and update as needed.

Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module

Review and assess adjudicated claims for timely and proper payment of outstanding balances

Research, correct and resubmit or reprocess unpaid claims as necessary

Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting

Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments

Research and resolve denials and underpayments with insurance carriers

Submit third party payor appeals and reconsideration requests in a timely manner

Meet department and/or organization productivity goals/benchmarks

Post third party payors(s), government, grant funded and patient payments

Respond to patient inquiries regarding billings

Assist other staff as needed to keep department workload current

Maintain communication with all interested parties regarding patient account issues

Perform other duties as assignedRequirements:

STRIDE Values:

Integrity: Doing the right thing even when no one is watching

Compassion: Meeting patients where they are with empathy

Accountability: Following through on our commitments.

Respect: Valuing human dignity

Excellence: Embracing a growth mindset and striving for continuous improvement.

Education and Experience:

A successful candidate will possess the following education or formal training.

High school diploma or GED required

CPC Certification preferred

Skills and Expertise

Ability to interact positively and build rapport with patients, coworkers and/or external contacts

Ability to work independently and organize work in a manner that ensures accuracy and efficiency

Knowledge of medical electronic billing procedures and coding

Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population

Customer service skills, including the ability to diffuse upset patients

Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful

Skill in using a variety of computer software including but not limited to the internet and MS Office products

Ability to handle sensitive information ethically and responsibly

Ability to protect the confidentiality of patients, employee and business information

Bilingual Spanish is preferred

Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Required Tools of the Job

Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing

Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director

Microsoft suite and various audio/video platforms

Internal and external IT ticketing systems

Working Environment and Physical Activities

Office environment within a clinical setting. Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs. occasionally. Communicate information to others. Discerns/analyzes information from others to assist in decision making

Work Schedule:

Monday - Friday, 8:30am - 5:00pm

This hybrid role requires candidates to be located in Colorado or in the process of relocating.

STRIDE offers a competitive hourly range of $22.00-$26.00, depending on experience.

The salary range reflects STRIDE’s good faith estimate of potential compensation at the time of posting. The final offer for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty and training.

Why STRIDE

Medical, dental and vision coverage

Paid time off and paid holidays

Health Savings account (HSA) and Flexible Spending accounts, including dependent care options.

401(K) with matching for eligible employees

Work-Life balance-No nights, no weekend and no major holidays

NHSC loan repayment assistance

Tuition reimbursement and continuing medical education assistance

Employee Assistance Program (EAP)

Employee discount programs on top local attractions

Competitive wages

STRIDE conducts background checks, including criminal history, education, license and certification.

STRIDE is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law.

STRIDE complies with the Americans with Disabilities Act, providing reasonable accommodations as needed.

Health and Safety commitment:

To ensure the safety of our patients, staff, and communities, all new hires at STRIDE must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing.

Application submission closing date: 05/23/2025

Full-time