Cordant Health Solutions™ is at the forefront of combating today’s opioid epidemic through its network of toxicology laboratories and pharmacies. Cordant is committed to providing cutting-edge solutions for payers, clinicians and agencies involved with addiction, criminal justice and pain management.  Cordant is one of the only toxicology laboratories that includes a full-service, high-touch pharmacy that specializes in complex management and dispensing of controlled substances. As a reliable partner, Cordant provides testing protocols, treatment recommendations and considerations and digital case-management tools to help its customers become more efficient and effective. Cordant strives to change the way its clients use toxicology results and assists its clients in navigating the ever-changing industries in which they operate.  Laboratories and/or pharmacies are located in Arizona, Colorado, Indiana, Massachusetts, New York, and Washington.

We are looking for an enthusiastic Third Party Billing and Collections Representative to join our Billing and Reimbursement team in Denver, CO. The selected candidate will be responsible for managing and investigating missing and incomplete information that has resulted in errors and denials in the billing process, and then resolving those billing errors and denials. This role will need to use innovative approaches to collecting updated information while still providing a high level of customer service. 

The schedule for this position is Monday-Friday from 8am-4:30pm.

Essential Functions:
  • Follows up with insurance company on unpaid or rejected claims to resolve issues and re-submit claims
  • Make necessary adjustments to patient demographic, insurance, and account balance information based on payor adjudication
  • Processed multiple coverage sets by more than one insurer, prepares and submits secondary claims upon processing by primary insurer
  • Manages specific payor group assignments daily
  • Performs updates to billing codes (advice remark codes and adjustment reason codes)
  • Generates written correspondence and response to clients and/or payors as needed
  • Prepares appeal letters to insurance carrier when not in agreement with claim denial
  • Collects necessary information to accompany appeal
  • Complete A/R adjustments and request other adjustments where permitted and appropriate
  • Answer patient questions on patient responsible portions, copays, deductibles, write-off’s, etc
  • Resolves patient complaints or explains why certain services are not covered
  • Adheres to all regulatory compliance areas, policies and procedures
Education and Experience:
  • High School Diploma/GED
  • Medical Billing Certification or Degree with an accredited school, preferred
  • 2+ years of experience in Medical Billing (Laboratory billing, a required)
  • 2+ years of experience in Collections
  • Experience with inbound and outbound calls, required
  • Strong experience reading and interpreting EOBs, required
Knowledge, Skills, and Abilities:
  • Exceptional interpersonal and customer service skills
  • Strong verbal and written communication skills
  • Self-motivated and organized professional
  • Ability to handle multiple tasks in a fast-paced environment
  • High level of integrity and ethics
  • Knowledge of Medicare and Medicaid, as well as other third-party payers
  • Intermediate Excel experience (filter, sort, pivot tables, basic formulas, etc.)
About Cordant Health Solutions:
Working at Cordant Health Solutions means constantly being challenged to learn and grow in a fast-paced, dynamic, vibrant environment. Our team members are the key to our success and we are committed to providing an environment that not only offers a fun, positive work environment but also career building opportunities and a positive work/life balance. Cordant Health Solutions supports its employees by offering a benefits package to eligible employees that includes:
  •         Medical / Dental / Vision
  •         Flexible Spending Accounts (FSA)
  •         Paid time off (PTO) /  paid Holidays
  •         401(k) with Company match
  •         Company paid basic life insurance
  •         Company paid long term disability
  •         Short term disability
Cordant Health Solutions is an Equal Opportunity Employer (Minorities/Women/Veterans/Disabled) that believes diversity leads to a stronger organization.  

Department: Billing and Reimbursement
This is a non-management position
This is a full time position

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