Billing​/Follow-up Specialist - Professional Billing

Billing/Follow-up Specialist
- Professional Billing

Peace Health is seeking a Billing/Follow-up Specialist
- Professional Billing (PB) for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at Peace Health is $19.62 – $29.44. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

This is a remote position. If selected, candidates must reside and perform work within Oregon or Washington.

Job Summary

Responsible for all phases of billing/account follow-up using accepted billing practices to ensure thorough and consistent account resolution to promote financial health. This position ensures appropriate reimbursement and days in Accounts Receivable with timely account follow-up and resolution of outstanding charges owed by third party payors. Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement issues for multi-facility, multi-specialty organization.

Essential Functions

• Resolves insurance claim rejections/denials, and non-payment of claims by payors.
• Identifies trends in billing and follow-up, in order to expedite resolution of insurance accounts and identify delays in processing.
• Drafts appeals to insurance companies for reimbursement of monies owed.
• Maintains daily account, follow-up work lists within department while maintaining organization's productivity standards.
• Ensures compliance and claims processed in accordance with payer contracts and policies, as well as to settle claims as appropriate.
• Identifies, researches and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up.
• Processes and maintain correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
• Handles submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
• Communicates appropriately with insurance companies, patients, co-workers and supervisors.
• Performs other duties as assigned.

Qualifications

Education

• High School Diploma
  
  Required:
  
  or equivalent And
• Associate Degree Preferred:

Experience

• Minimum of 2 years
  
  Required:
  
  Experience in a billing or insurance account follow-up capacity and
• Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered and
• Required:
  
  Medical terminology experience and
• Required:
  
  Knowledge of insurance processes and billing guidelines regulations and
• Preferred:
  Coding knowledge and
• Preferred:
  Epic experience

Credentials

• Preferred:
  Medical Billing Certificate or
• Preferred:
  Certified Revenue Cycle Representative or
• Preferred:
  Health Stream Badge

Skills

• Proficient use of computers including Microsoft Office applications (Word, Excel, PowerPoint, etc.) (Required)
• Skilled in 10-key by touch and keyboarding (Required)
• Ability to operate general office equipment (Required)
• Excellent verbal and written communication skills (Required)
• Excellent attention to detail and ability to multi-task (Required)
• Ability to work with minimal supervision, independently, as well as in a collaborative team setting (Required)
• Strong organizational skills with the ability to prioritize and meet deadlines (Required)
• Knowledge of Commercial and/or Government Payors (Required)
• Ability to identify, research, and resolve credit balances, missing payments and unposted cash and payer recoupments, as it pertains to billing account follow-up. (Required)
• Ability to work remotely with minimal oversight, independently, as well as in a collaborative team setting. (Required)

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• Ability to communicate and…