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PeaceHealth · 9 hours ago

Billing/Follow-up Specialist - Government Billing

Vancouver, WA

Full-time

Onsite

Entry, Mid Level

$19.14/hr - $28.72/hr

2+ years exp

PeaceHealth is seeking a Billing/Follow-up Specialist - Government Billing to manage all phases of billing and account follow-up. The role focuses on ensuring thorough resolution of accounts while promoting financial health through effective communication and compliance with billing practices.

AssociationCommunitiesFitnessHealth CareHealth DiagnosticsHospitalHospitalityMedicalNon Profit

Responsibilities

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

Qualification

Medical terminologyInsurance processes knowledgeBilling guidelines regulationsCoding knowledgeEpic experienceMicrosoft Office10-key by touchGeneral office equipmentMulti-taskingVerbal communicationWritten communicationAttention to detailOrganizational skills

Required

High School Diploma or equivalent

Minimum of 2 years experience in a billing or insurance account follow-up capacity

Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered

Medical terminology experience

Knowledge of insurance processes and billing guidelines regulations

Proficient use of computers including Microsoft Office applications (Word, Excel, PowerPoint, etc.)

Skilled in 10-key by touch and keyboarding

Ability to operate general office equipment

Excellent verbal and written communication skills

Excellent attention to detail and ability to multi-task

Ability to work with minimal supervision, independently, as well as in a collaborative team setting

Strong organizational skills with the ability to prioritize and meet deadlines

Knowledge of Commercial and/or Government Payors

Ability to identify, research, and resolve credit balances, missing payments and unposted cash and payer recoupments, as it pertains to billing account follow-up

Ability to work remotely with minimal oversight, independently, as well as in a collaborative team setting