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Follow-Up Specialist
Vail Health
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Follow-Up Specialist

Vail Health

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Details
Posted:
May 6, 2025
Location:
Edwards, Colorado

Vail Health has become the world?s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital.  This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

About the opportunity:

Responsible for collection activities including but not limited to insurance follow-up, resolving denials & rejections, submitting re-bills, re-submit claims, and file appeals. Assists with resolving unpaid self-pay and patient residual accounts. As needed, acts as the back-up for the billing function, posts charges and submits insurance claims. Completes required reports and assists with special projects as assigned. Backs up other front office positions as needed.

What you will do:
  1. Performs claims follow-up by working aging and denials.
  2. Applies knowledge of insurance contracts and medical procedure reimbursement.
  3. Coordinates resubmission of claims when necessary.
  4. Submits appeals with supporting documentation when warranted.
  5. Identifies denial trends and works with management and payers to resolve issues.
  6. Contributes to team effort to meet collection goals and reduce A/R days.
  7. Investigates insurance overpayments and submits refund requests to department manager.
  8. Exhibits strong problem solving and research skills to ensure solutions are found.
  9. Completes required reports and assist with special projects as assigned.
  10. On an as needed basis will assist and back-up other front office staff positions.
  11. Role models the principles of a Just Culture and Organizational Values.
  12. Perform other duties as assigned. Must be HIPAA compliant.
This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
 
What you will need:
 
Experience:
  • One year healthcare experience OR One year accounts receivable experience required
License(s):
  • N/A
Certification(s):
  • N/A
Computer / Typing:
  • Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Must have working knowledge of the English language, including reading, writing, and speaking English.
 
Education:
  • Bachelors Degree preferred

Application Close Date: Will be accepting applications on an ongoing basis.

 

 

Benefits at Vail Health (Full and Part Time) Include:

  • Competitive Wages & Family Benefits:
    • Competitive wages
    • Parental leave (4 weeks paid)
    • Housing programs
    • Childcare reimbursement 
  • Comprehensive Health Benefits: 
    • Medical
    • Dental 
    • Vision
  • Educational Programs: 
    • Tuition Assistance 
    • Existing Student Loan Repayment
    • Specialty Certification Reimbursement
    • Annual Supplemental Educational Funds
  • Paid Time Off:
    • Up to five weeks in your first year of employment and continues to grow each year.
  • Retirement & Supplemental Insurance:
    • 403(b) Retirement plan with immediate matching 
    • Life insurance
    • Short and long-term disability
  • Recreation Benefits, Wellness & More:
    • Up to $1,000 annual wellbeing reimbursement
    • Recreation discounts
    • Pet insurance

 

Pay is based upon relevant education and experience per hour.

Hourly Pay:
$21.32—$25.40 USD

Internal Number: 5438891004
About Vail Health
Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.
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