Billing Specialist

Peninsula Behavioral Health, WA; Port Angeles (WA); On-site; USD 35,817 - 42,705; Full time

Benefits offered by this job

403(b) Retirement Plan

Life Insurance

Long Term Disability

Wellness Program

Employee Assistance Program

LifeFlight Membership

Job summary

Peninsula Behavioral Health is seeking a Billing Specialist to manage claims processing, ensuring accuracy and compliance with regulations. This role requires timely resolution of billing issues and effective communication with staff and clients. With a competitive pay range of $26 to $31 per hour, candidates should have two years of healthcare billing experience and a high school diploma.

Qualifications

• Two years of experience in claims billing using a centralized billing system.
• Knowledge of ICD-10, CPT, and medical terminology preferred.
• Must be proficient in Excel and have excellent communication skills.

Responsibilities

• Ensure all claims are processed timely and accurately.
• Communicate professionally with clients and staff regarding accounts.
• Resolve discrepancies in client accounting records.

Skills

Communication

Attention to Detail

Problem Solving

Education

High School Diploma or GED

Tools

EHR system

Excel

Word

Job description

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Peninsula Behavioral Health, WA provided pay range

This range is provided by Peninsula Behavioral Health, WA. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$26.00/hr - $31.00/hr

Direct message the job poster from Peninsula Behavioral Health, WA

HR Talent Acquisition Specialist at Peninsula Behavioral Health in Port Angeles, WA

Reports to: Chief Financial Officer (CFO)

Pay Range: $26 to $31 per hour (DOE/DOQ)

Hours per Week: 40 hours

Workdays: Monday to Friday 8-5

• 403(b) Retirement Plan
• Life Insurance
• Long Term Disability
• Wellness Program
• Employee Assistance Program
• LifeFlight Membership

JOB PURPOSE: The Billing Specialist is responsible for ensuring that all claims are processed timely and accurately, ensuring that all necessary procedures are completed prior to batch submission, denials and payments applied and/or addressed promptly, and that statements are finalized, in accordance with contracts.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Communicate professionally and directly with clients and staff regarding accounts.
• Keeps electronic health record, payer records and fee matrixes updated, ensuring compliance with payer contract terms.
• Verifies accuracy of billing data and corrects errors to ensure clean claims are produced.
• Perform corrections of client information that includes, but is not limited to, demographics and insurance information.
• Responsible for ensuring accurate and timely resolution of coding and billing issues.
• Obtains and/or enters such documents as authorizations, financial agreements, and other such ancillary documents, as necessary.
• Maintains detailed records and documents activities in client accounts when appropriate or as required.
• Resolves discrepancies in client accounting records.
• Interact with staff, clients, payers, and agencies to answer questions, obtain information, and resolve issues.
• Monitors aging reports and take such steps as necessary to guarantee timely payment of claims.
• Coordinates and collects necessary information from staff, clients, or payers for claim adjudication.
• Participates in take-back, overpayment, and refund process.
• Recognizes problem accounts and notifies appropriate staff or supervisors to assist in problem resolution.
• Assists in the creation of manuals and protocols.
• Participates in the training of new staff members.
• Maintains familiarity with and handles client information in accordance with Federal Regulations (42 CFR, Part 2), the Revised Code of Washington (RCW 71.05.390 and RCW 71.24), and other applicable laws pertaining to confidentiality of client and staff information.

REQUIRED EDUCATION, LICENSE(S), CERTIFICATION, AND EXPERIENCE:

Education: Minimum High School Diploma or GED

Experience:

• Two years of experience in claims billing using a centralized billing system or clearinghouse.
• Experience in healthcare billing.

PREFERRED ADDITIONAL CREDENTIALS / EXPERIENCE:

Education: Associate or Bachelor's Degree

Experience: Medical coding

Licensure: Certified Professional Coder

KNOWLEDGE, SKILLS, AND ABILITIES:

• Experience with ICD-10, CPT, and medical terminology preferred.
• Must be proficient in Excel, Word, and ten-key by touch.
• Experience with Qualifacts CareLogic or similar EHR system.
• Excellent verbal and written communication skills.
• Must be able to resolve client billing problems in a timely manner.
• Must have the ability to add, subtract, multiply, and divide in all units of measure using whole numbers, common fractions, and decimals.

*Peninsula Behavioral Health does not discriminate because of a person's presence of any sensory, mental, or physical disability, race, creed, color, national origin, sex, sexual orientation, gender identity including transgender status, marital status, pregnancy, childbirth, and pregnancy-related conditions, age (40), honorably discharged veteran or military status, or use of a trained dog guide or service animal by a person with a disability, state employee or health care whistleblower status.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing, Finance, and Administrative

• Industries

  Mental Health Care, Individual and Family Services, and Non-profit Organizations

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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