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 exchange accurate information.

* The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

Peace Health is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options;

tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how Peace Health is…