Position Overview
The Billing Specialist enters medical, mental health, and addiction charges for all NARANW facilities by auditing authorizations, diagnoses, copayments, payment allocation, insurance options, and coverage eligibility. The role researches and resolves denied and rejected insurance claims, processes payments and refunds, and handles all related billing tasks.
What You Will Do
- Follow up on outstanding insurance A/R accounts.
- Review EOBs, research, and resubmit claims.
- Verify eligibility using online sites.
- Enter tickets and review associated reports.
- Record traceable notes on work tickets.
- Bill secondary carriers.
- Direct work to a specific batch for processing.
- File batches.
- Process bad debt write‑off tickets.
- Submit and file claims to DSHS.
- Train on new and updated internal and external systems and databases.
- Execute other revenue‑cycle projects and tasks as requested.
Qualifications
- High School Diploma or General Education Diploma (required).
- Minimum of 1 year medical office billing experience (required).
- Medical Billing Certificate (preferred).
- Familiarity with CPT, ICD‑10, and HCPCS (preferred).
- Proficiency in practice management software, Athena Practice (previously Centricity) (preferred).
- Experience with OHP, Medicare, and managed health care.
- Intermediate to advanced proficiency with Microsoft Office.
- High accuracy and attention to detail.
- Knowledge of HIPAA regulations and patient confidentiality.
- Knowledge of medical terminology.
- Basic math and general accounting procedures.
- Knowledge of customer service principles and practices.
- Proficiency in data entry and management.
- Ability to use a 10‑key and type 35 words per minute.
- Ability to use a multi‑line phone.
- Ability to complete documentation in accordance with governmental regulations, laws, and NARANW policies and best practices.
- Pass a pre‑employment drug test.
- Pass a criminal background and DMV check.
Benefits
- Paid Holidays: New Years Day, Martin Luther King Jr. Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples’ Day, Veterans Day, Thanksgiving, day after Thanksgiving, December 25th, and your birthday.
- Benefits eligibility for 20+ hours: Affordable Medical, Dental, and Vision Insurance through Kaiser Permanente.
- 13 Paid Days of Sick Time.
- 13 Paid Days of PTO (accruals increase with years of service up to 26 days).
- $50,000 Life Insurance & AD&D.
- Short‑Term and Long‑Term Disability.
- Flexible Spending Account.
- Health Spending Account.
- 401(k) with 4% Match.
- Employee Assistance Program.
- Inclement Weather Days (Snow Days).
- Public Student Loan Forgiveness (NARANW is a local 501(c)3 nonprofit, FQHC).
Drug‑Free Policy
All employees, volunteers, interns, and contractors must refrain from illicit drug use, marijuana use, and prescription drug abuse, both on and off the job. Employees must model alcohol sobriety on the job, in social media, and in community settings where clients may see them. Violation may result in disciplinary action up to termination.
EEO & Equal Opportunity
Preference is given to qualified Native Americans in accordance with the Indian Preference Act. NARANW is an Equal Opportunity Employer. Experience working with Native American or Alaska Native communities is considered a plus.
Disclaimer
This job description is not intended to be an exhaustive list of responsibilities, skills, or working conditions. The agency reserves the right to modify, add, or remove duties as necessary.