Billing Specialist

CommonSpirit Health; Pendleton, Northern (OR, KY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

CHI St. Anthony Hospital in Pendleton, Oregon, is seeking a Billing Specialist to streamline billing and insurance processes, enabling focus on patient care and financial well-being.

You will review and process patient accounts, insurance claims, and payment postings, ensuring accuracy and timeliness while following up on denied claims and maintaining patient confidentiality. Strong attention to detail and healthcare billing knowledge are essential.

Qualifications

• High School graduate or GED required.
• Preferred: 2 years billing experience in a healthcare environment.

Responsibilities

• Coordinate copies of medical documentation with physician charges to support billing to third party payers.
• File and enter billing for patients into the system and analyze patient accounts to ensure billing is accurate.
• Resolve routine patient billing inquiries and problems, handling follow-up questions from patients, resolving discrepancies or errors.
• Follow up with third party payors on outstanding claims.
• Review accounts prior to sending to outside agencies for collections.
• Review overpaid accounts and submit refund requests.

Skills

Attention to detail

Medical billing

Medical coding

Healthcare insurance

Education

High School Diploma or GED

Job description

Job Summary and Responsibilities

As our Billing Specialist, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being.

Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.

To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance.

• Coordinate copies of medical documentation with physician charges to support billing to third party payers.
• File and enter billing for patients into the system and analyze patient accounts to ensure billing is accurate.
• Resolve routine patient billing inquiries and problems, handling follow-up questions from patients, resolving discrepancies or errors.
• Follow up with third party payors on outstanding claims.
• Review accounts prior to sending to outside agencies for collections.
• Review overpaid accounts and submit refund requests.

Job Requirements

Required

• High School Graduate General Studies or GED General Studies

Preferred

• 2 years billing experience in a healthcare environment

Where You'll Work

CHI St. Anthony Hospital is a 25 bed, licensed for 49, faith-based, acute care, level four trauma, critical access hospital and healthcare campus serving the Pendleton, Oregon area for more than 100 years. We are committed to the highest quality of patient care and safety; and to strengthening our community through wellness education. CHI St. Anthony Hospital is designed specifically to ensure that our physicians, nurses, and healthcare professionals can continue to provide extraordinary care for our patients. The 103,000 square foot hospital features 4 operations rooms, 11 emergency rooms, 30 private patient rooms, and the latest medical equipment. St. Anthony Hospital has plenty of room to grow as needed by the community and will continue to provide the safest quality of care possible. St. Anthony Hospital was also named one of the top patient experience hospitals in 2021. CHI St. Anthony is a member of CommonSpirit Health, the largest not-for-profit health care system in the nation, boasting an integrated network of top quality hospitals, with physicians from the most prestigious medical schools, and comprehensive outpatient services-all recognized for quality, safety and service. To learn more go to www.sahpendleton.org