Billing Specialist

Description

Billing Specialist (RCM) - Behavioral Health (Washington state only)

At Three Rivers Therapy, we are a mission-driven behavioral health organization dedicated to empowering individuals and strengthening communities through best-in-class clinical care. With over a decade of trusted service in Washington State, we combine compassionate therapy with innovative business practices to transform lives. We foster a culture of engagement, high standards, and growth – all within a supportive, fun environment where both staff and patients thrive.

As we expand, we remain committed to excellence and making a meaningful difference every day.

As a Certified Billing & Coding Specialist, you are essential to our mission of delivering exceptional behavioral health services. By ensuring accurate, compliant, and timely claim submissions to insurance providers, you directly support the financial stability and growth of our agency. Your expertise in medical billing and coding enables smooth revenue cycle operations, allowing our clinicians to focus on providing high-quality care.

Through meticulous attention to detail and adherence to regulatory standards, you help create efficient financial workflows that ultimately enhance client access to the care they deserve.

Billing and Coding:

• Assign accurate codes to diagnoses, treatments, and procedures for client records using standardized coding systems (ICD-10, CPT, HCPCS).
• Ensure all codes are correctly applied for billing and reimbursement purposes.
• Review patient charts and other documentation to verify coding accuracy.

Claims Processing:

• Prepare and submit clean claims to insurance providers to maximize timely payments.
• Follow up on unpaid or denied claims, correcting and resubmitting as necessary.
• Work closely with insurance companies to resolve claim disputes and rejections.

Financial Reconciliation:

• Assist in reconciling accounts receivable and processing patient payments.
• Manage client accounts, including invoicing, payment plans, and balance inquiries.
• Prepare monthly reports on billing activity and revenue collection.

Compliance and Confidentiality:

• Maintain compliance with HIPAA and other regulatory requirements regarding patient privacy and billing practices.
• Adhere to all federal, state, and local billing regulations to ensure ethical and legal coding and billing.

Communication and Coordination:

• Collaborate with clinical staff to clarify documentation and ensure coding accuracy.
• Act as a resource for administrative and clinical staff regarding billing and coding issues.
• Communicate effectively with patients regarding billing inquiries and provide assistance in understanding their financial obligations.

Other Related Duties:

• Stay updated on coding changes and industry trends to ensure ongoing accuracy and compliance.
• Participate in staff training sessions to improve billing and coding efficiency.
• Other duties as assigned.

To perform this job successfully, an individual must meet the minimum qualifications listed below. These qualifications are representative of the knowledge, skill and/or ability required to perform this job.?

• High school diploma or equivalent; additional education or training in healthcare administration is a plus.
• Certified Billing and Coding Specialist (CBCS) or equivalent certification.
• Prior experience in medical billing and coding, preferably in a behavioral health setting.
• Familiarity with ICD-10, CPT, HCPCS coding systems, and knowledge of HIPAA regulations.
• Proficient in using electronic health record (EHR) systems and billing software.
• Strong interpersonal skills and the ability to explain billing processes to clients and team members.
• Exceptional accuracy in coding and financial reconciliation.

Job Type: Full-time

Pay: $23.00 - $27.00 per hour

At Three Rivers Therapy, we prioritize the health and well-being of our team with a comprehensive benefits package including:

• 12 paid holidays plus 2 floating holidays
• Up to 2 weeks of paid vacation in your first year (based on hours worked)
• Up to 6.5 days of paid sick leave (based on hours worked)
• Retirement plan with competitive matching
• Comprehensive health, dental, and vision insurance
• Life insurance at no cost to you
• Flexible work arrangements and employee assistance resources

Work Location: In person