Billing Specialist

Northwest Orthopaedic Specialists; Spokane (WA); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

401k Employer Match after 1 year

PTO and holidays

Job summary

Northwest Orthopaedic Specialists in Spokane, WA is seeking a Billing Specialist to manage denial tracking and follow-up on unpaid claims. You will review claims for maximum reimbursement, research missing remit information, and coordinate with payers and patients as needed.

Candidates must reside within commuting distance of Spokane, WA, with a potential hybrid-remote schedule after a 90-day period. The role includes a strong emphasis on HIPAA compliance and accurate documentation of all denial

Qualifications

• High School diploma or equivalent.
• 1 year experience in medical coding or billing, including denials.
• Familiarity with medical AR.
• Experience with CPT and ICD-10 helpful.

Responsibilities

• Timely follow up on claim denials and payments.
• Contact insurance companies to determine unpaid claims.
• Identify denial trends and help develop prevention strategies.
• File appeals and monitor progress; document denial activity.
• Ensure accounts receivable stays current per benchmarks.
• Adhere to HIPAA guidelines.

Skills

Billing

Denials handling

HIPAA compliance

Communication

Education

High School diploma

Tools

Medical billing software

CPT

ICD-10

Job description

Downtown Clinic
601 W 5th Ave Suite 400
Spokane, WA 99204, USA

• On-site
• Revenue Cycle
• Full-Time
• Requisition #: BILLI002692

Description

The Billing Specialist is responsible for prevention, tracking, and follow up of denied and/or unpaid claims. The Billing Specialist reviews claims to ensure maximum reimbursement, researches payments with missing remit information or misapplied payments, and follows up with insurance carriers and patients as needed. This position maintains consistent productivity and quality of work in a challenging, fast paced environment.

Candidates must reside within commuting distance of Spokane, WA

Opportunity for a hybrid-remote schedule after successful 90 days.

ESSENTIAL FUNCTIONS:

• Timely follow up on claim denials, exceptions or exclusions.
• Contacting insurance companies to determine reasons claims are unpaid.
• Identifying denial trends to help create strategies to prevent denials wherever possible.
• File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.
• Research of payments with missing remit information or misapplied payments.
• Ensure that accounts receivable is kept current according to organizational benchmarks.
• Adheres to all HIPAA guidelines/regulations.
• Other duties as assigned.

QUALIFICATIONS:

Required:

• High School Graduate or equivalent.

Preferred:

• 1 year experience in medical coding or billing, including experience with denials, CPT and ICD-10.
• Familiarity with medical AR.

SHIFT:

• 5, 8-hour shifts per week or 4, 10 hour shifts per week. Will consider either. MUST work 5, 8-hour shifts per week for training during the first 90 days of employment.

BENEFITS:

• Medical Insurance
• Vision Insurance
• Basic Life & ADD Insurance
• Long Term Disability Insurance
• Voluntary Short Term Disability Insurance
• Voluntary Life & ADD Insurance
• Health Savings Account
• Employee Assistance Program
• Voluntary AFLAC Options
• Employee Discount
• 401k Employer Match after 1 year
• 401k Profit Sharing after 1 year
• PTO (.0615 per hour paid)
• 7 paid holidays

Related Jobs: Medical Billing Specialist, Medical Biller, Certified Professional Coder

Qualifications

Education

Required

High School or better.

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.