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Billing/Follow-up Specialist - Government (Remote: OR & WA)
PeaceHealth
Vancouver (WA)
Remote
Full time
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Job summary
Join PeaceHealth as a Billing/Follow-up Specialist for a full-time, remote position serving Oregon and Washington. This role is essential for managing billing and account follow-up processes to ensure financial health, requiring strong knowledge of insurance processes and billing practices. Applicants should possess a high school diploma, with an associate degree preferred, and have a minimum of two years’ experience in billing or insurance follow-up.
Benefits
Qualifications
- 2+ years of experience in billing or insurance account follow-up required.
- Formal training in medical billing may substitute for experience.
- Knowledge of coding and Epic is preferred.
Responsibilities
- Manage billing and account follow-up to ensure thorough resolution.
- Resolve insurance claim denials and draft appeals.
- Maintain correspondence with patients and insurance companies.
Skills
Education
Job description
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Job Description
Description
Job Description
PeaceHealth is seeking a Billing/Follow-up Specialist - Government (Remote: OR & WA) for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $19.14 – $28.72. 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.
Must live within a 1-hour commute from a main PeaceHealth facility in Oregon or Washington or do so by date of hire!
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.
Education
- High School Diploma Required: or equivalent
- Associate Degree Preferred.
- Minimum of 2 years Required: 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
- Required: Medical terminology experience
- Required: Knowledge of insurance processes and billing guidelines regulations
- Preferred: Coding knowledge
- Preferred: Epic experience
- Preferred: Medical Billing Certificate
- Preferred: Certified Revenue Cycle Representative
- Preferred: HealthStream Badge
- 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)
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.
- Predominantly operates in an office environment.
- 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.
See how PeaceHealth is committed to
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
- Seniority levelEntry level
- Employment typeFull-time
- Job functionHealth Care Provider
- IndustriesHospitals and Health Care
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