Revenue Cycle Specialist

The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children, and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves.

The Colorado Coalition for the Homeless seeks a Healthcare Revenue Cycle Specialist to be responsible for timely follow up and consistent collection of the Coalition’s patient/consumer health care services related revenue; including maintenance of related claim information in the NextGen Practice Maintenance system. This position is remote and reports to the Director of Healthcare Revenue Cycle.

• Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage. 
• Choice of dental insurance or discount plan. 
• Vision insurance.  
• Flexible spending accounts for health care / dependent care / parking expenses. 
• Free basic life and AD&D insurance coverage. 
• Employee Assistance Program, a problem-solving resource available to you and your household members. 
• Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting. 
• Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year. 

• Answers client, patient and carrier calls; promptly returns and follows up with all interactions; promptly responds to requests for information.
• Manages unpaid claims in a timely manner as assigned through the use of the NextGen practice management system, aging reports, adjustments, payment postings, correspondence, Clearinghouse rejections; as well as any other receivable balance projects as needed.
• Effectively handles complex payer denials, outstanding balance reports, and payer appeals.
• Monitors and reconciles claims, including held claims, unbilled claims, denial trends, payer balance reports, and credits, refunds, and adjustments.
• Achieves pre-established goals related to workflow, work quality, work quantity, transactions, processes, and compliance requirements.
• Ensures appropriate and accurate claim follow-up integrity of billing related information entered into the practice management system, including but not limited to, provider/billing numbers, insurance information and CPT, HCPF, ICD-10 coding.
• Serves as a resource to other organization staff for billing issues/questions.
• Complies with and enforces relevant Policies and Procedures.
• Maintains current and complete COVID‐19 vaccination(s), as defined by the Centers for Disease Control and Prevention and local health authorities.
• Performs other duties as assigned.

• High school diploma or GED required, Associate’s or Bachelor’s degree preferred.
• Two to three years billing experience in a multi-specialty, physician-based medical facility preferred.

Employee must be able to perform essential job functions with or without reasonable accommodation and without posing a direct threat to safety or health of self or others. To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Employee will perform job according to applied laws. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Colorado Coalition for the Homeless is committed to delivering services, making employment-related decisions, selecting volunteers, and selecting vendors without regard to age over 40, race, sex, color, religion, creed, national origin, ancestry, disability, genetic information, marital status, sexual orientation, gender identity, gender expression, pregnancy, medical condition related to pregnancy, military status, or any other applicable status protected by law.