Billing Specialist III

BestCare Treatment Services Inc; Redmond (WA); On-site; USD 70,000 - 90,000; Full time

Job summary

BestCare Treatment Services Inc is seeking a Billing Specialist III to act as a training resource and expert for the revenue cycle. You will provide shoulder-to-shoulder training and lead reporting for billing operations.

The role requires strong Epic software skills and experience across coding, billing, and documentation, with the ability to manage multiple projects and deadlines in a busy healthcare setting.

Qualifications

• Associate’s degree or HSD/GED with related education/experience.
• Minimum 4 years of experience with Epic software systems.
• Minimum 4 years of experience with revenue cycle billing.
• Bilingual in English/Spanish is a plus.

Responsibilities

• Serve as subject-matter expert for Billing staff and training.
• Develop training documents and onboard new staff.
• Be primary contact for revenue cycle: coding, billing, and documentation best practices.
• Lead revenue-cycle reporting and complete special projects as needed.
• Support other Billing staff and perform related duties.

Skills

Communication skills

Interpersonal skills

Organization

Time management

Critical thinking

HIPAA compliance knowledge

Bilingual English/Spanish

Education

Associate’s degree or HSD/GED

Tools

Epic Software Systems

MS Office 365

Databases

Virtual meeting platforms

Job description

Description

The Billing Specialist III serves as a primary contact/resource for all aspects of the revenue cycle, provides training to new employees and BestCare staff including “shoulder-to-shoulder” training, completes special project work and reporting as needed.

ESSENTIAL FUNCTIONS:

1. Serves as a subject-matter expert for the Billing staff to provide training and help resolve issues;
2. Develops training documents and provides training to new BestCare staff;
3. Serves as a primary contact and resource for all BestCare sites on all aspects of the revenue cycle, including coding, billing, and documentation best practices;
4. Primarily responsibility to provide revenue-cycle reporting;
5. Completes special projects as assigned;
6. May be required to perform billing functions of other Billing staff, as needed;
7. Other related duties as assigned.

ORGANIZATIONAL RESPONSIBILITIES:

1. Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration;
2. Supports the organization’s commitment to equity and inclusion, fostering an environment of open-mindedness, cultural awareness and respect for all individuals;
3. Aligns department goals with organizational strategic initiatives;
4. Complies with Code of Conduct, Business Ethics, Employee Handbook, and all relevant policies and OARs;
5. Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes;
6. Completes assigned training timely and satisfactorily, and attends other seminars, training, and educational opportunities to develop professional skills and abilities;
7. Ensures that any required certifications and/or licenses are kept current and renewed timely;
8. Works independently and collaboratively as a positive member of the BestCare team;
9. Performs other organizational duties as assigned.

Requirements

EDUCATION AND/OR EXPERIENCE:

• Associate’s degree in related field or HSD/GED and equivalent in related education/experience
• Minimum 4 years of experience with Epic software systems
• Minimum 4 years of experience with revenue cycle billing

PREFERRED:

• Bilingual in English/Spanish a plus

REQUIRED COMPETENCIES:

• Proficiency in Epic Software Systems
• High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
• Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), familiarity with CMS billing rules and associated billing requirements;
• Strong interpersonal and customer service skills;
• Strong communication skills (oral and written);
• Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through;
• Excellent time management skills with a proven ability to meet deadlines;
• Critical thinking skills
• Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
• Ability to build and maintain positive relationships;
• Ability to function well and use good judgment in a high-paced and at times stressful environment;
• Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
• Ability to work effectively and respectfully in a diverse, multi-cultural environment;
• Ability to work independently as well as participate as a positive, collaborative team member