Pre-Billing Claims Specialist - Northwest Billing

Pre-Billing Claims Specialist

Northwest Specialty Hospital is seeking a detail-oriented Pre-Billing Claims Specialist to join our Billing Team!

We need someone with a professional demeanor, can work well under stress situations, will provide great customer service, and can multitask!

Under the direction of the Revenue Cycle Manager, the Pre-Billing Claims Specialist will submit and process claims in accordance with payer regulations and department policies and procedures. This position will ensure proper follow up of unbilled accounts using Meditech biller worklists; contact patient for insurance information and or clarification as needed before initial bill. Perform other duties as assigned and/or assume additional responsibilities as required.

Advanced knowledge of coordination of benefits and Medicare Secondary Payer requirements. Verify patient coverage for primary, secondary and tertiary, verify third party billing and or auto insurance information as necessary, ensure the authorization number is in the required field, ensure secondary and tertiary claims have generated for billing, ensure electronic claim files are created and uploaded. This position will also work to resolve Meditech claim edits, work external Clearinghouse prebilling and payer rejections, and work with Team Lead and Clearinghouses to establish custom edits and resolve errors.

Qualifications and

Preferred Experience:

• High school diploma or equivalent required
• Proficient with billing and prebilling:
  Medicare, Medicaid, BCBS, and Commercial
• Proficient with billing UB04s and HCFAs
• Excellent communication skills; required for both written and verbal
• Analytical; ability to research, analyze and train on data and reports
• Minimum of 2 years' physician & facility billing experience

About Northwest Specialty Hospital:

Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients.

Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties. Northwest Specialty Hospital has earned numerous awards for patient care, surgical skill, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for four consecutive years!!

Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient focused approach, and robust benefits package!

Some of our amazing perks and benefits offered to employees are:

• Company-sponsored events such as Silverwood Days, sporting events, BBQs and holiday parties
• Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance
• Tuition reimbursement
• Growth opportunities, ongoing education, training, leadership courses
• A generous 401K retirement plan
• A variety of discounts throughout the hospital and community are available to employees
• Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships
• Culture that promotes and supports work/life balance

Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.