Complex Healthcare Billing & Payment Specialist

Legacy Health; Portland (OR); On-site; USD 30,000 - 43,000; Full time

Job summary

Legacy Health is seeking an Account Follow-up Specialist to manage delinquent payments in a complex, multi-payor environment. You will analyze patient accounts, verify billing details, and coordinate with payors to optimize reimbursements.

Ideal candidates have two years of healthcare billing experience, familiarity with UB-04 and CMS-1500 forms, and strong communication skills to work with patients, providers, and insurers.

Qualifications

• High school diploma or equivalent.
• Two years of healthcare billing/collections experience.
• Knowledge of UB-04 and CMS-1500 claims and reimbursement rules.

Responsibilities

• Resolves delinquent payment issues for complex accounts.
• Investigates patient accounts, medical records, and bills.
• Analyzes accounts to determine best follow-up for reimbursement.
• Removes barriers to processing claims and resubmits when needed.
• Submits reconsiderations or appeals for denied claims.

Skills

Problem solving

Decision making

Multi-payor knowledge

Billing regulations

Eligibility review

EMR familiarity

10-key proficiency

Microsoft Office

Verbal communication

Written communication

Teamwork

Prioritization

Adaptability

Education

High school diploma

Tools

Billing software

Electronic medical records

Microsoft Office

10-key proficiency

Job description

Legacy Health is seeking an Account Follow-up Specialist to manage delinquent payments in a complex, multi-payor environment. You will analyze patient accounts, verify billing details, and coordinate with payors to optimize reimbursements.

Ideal candidates have two years of healthcare billing experience, familiarity with UB-04 and CMS-1500 forms, and strong communication skills to work with patients, providers, and insurers.