On-Site Insurance A/R Specialist - Epic Billing

Rebound-3; Vancouver (WA); Presencial; USD 36.000 - 51.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical/Vision/Rx

Dental

401(K) Retirement Plan

Company paid Life Insurance/AD&D

Voluntary Life insurance/AD&D

Company paid short and long-term_disb

Paid Time Off

Free Parking

Employee Assistance Program

Descripción de la vacante

Rebound is seeking an Insurance Accounts Receivable Specialist to join our Business Office team at the Stonemill location in Vancouver, WA. This on-site role focuses on preparing, submitting, and resolving insurance claims using Epic billing workflows to maximize reimbursement and maintain HIPAA compliance.

The ideal candidate will have at least two years of medical billing experience, strong communication skills, and familiarity with CPT/ICD10 coding.

Formación

• High school graduate or equivalent required.
• College level accounting or business courses preferred.
• Minimum of two years experience in medical billing in a healthcare related field, physician’s office, hospital or clinic.
• Experience in the field of collections, customer service, and insurance billing and reimbursement preferred. Working knowledge of CPT/ICD10 coding, HCPCS, modifiers and payer billing guidelines.
• Experience with Medicare, Medicaid and commercial payers. ASC billing knowledge preferred.
• Additional appropriate education may be substituted for applicable experience or an equivalent combination of education, training and/or experience.
• Knowledge of insurance billing procedures, collection laws, and medical terminology preferred.
• Excellent communication and public relations skills, both verbal and written.
• Ability to work both independently and interdependently with staff and team members with limited supervision.
• Excellent problem solving and critical thinking skills.
• Proficient use of computers including MS Office applications.
• Must demonstrate an understanding of the principles of service excellence and be able to maintain a professional demeanor and customer service orientation under busy and difficult situations.

Responsabilidades

• Submit professional and facility claims electronically through Epic's module and clearinghouse interface.
• Validate claim data using Charge Review and Claim Edit work queues, correction errors prior to submission.
• Confirm insurance coverage, place of service, provider information, and coding accuracy prior to release.
• Resubmit corrected claims when needed and follow up on rejected or pended submissions.
• Work assigned Charge Review, Claim Edit, and Follow up work queues daily to ensure clean claims and timely payer responses.
• Route claims to coding or registration or contracting teams when discrepancies impact billing.
• Identify trends or repeat edit issues and elevate to management or system support for root cause resolution.
• Review payer rejections and denials in Epic and take appropriate action to correct and resubmit claims.
• Coordinate with insurance companies via web portals or phone calls to resolve claims issues.
• Document all actions taken in account notes to ensure audit trail and communication across teams
• Follow all CMS and commercial payer billing guidelines, including NCCI edits, modifiers, and place of service requirements.

Conocimientos

Communication skills

Public relations skills

Independent work

Educación

High school diploma or equivalent

Accounting/business courses

Herramientas

Epic billing

MS Office

Descripción del empleo

Rebound is seeking an Insurance Accounts Receivable Specialist to join our Business Office team at the Stonemill location in Vancouver, WA. This on-site role focuses on preparing, submitting, and resolving insurance claims using Epic billing workflows to maximize reimbursement and maintain HIPAA compliance.

The ideal candidate will have at least two years of medical billing experience, strong communication skills, and familiarity with CPT/ICD10 coding.