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Description

**PeaceHealth is seeking a Billing/Follow-up Specialist - Government (Remote: OR & WA) for a Full Time, 1.00 FTE, Day position** . The salary range for this job opening at PeaceHealth is $19.14 – $28.72. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Must live within a 1-hour commute from a main PeaceHealth facility in Oregon or Washington or do so by date of hire!

Job Summary

Responsible for all phases of billing/account follow-up using accepted billing practices to ensure thorough and consistent account resolution to promote financial health. This position ensures appropriate reimbursement and days in Accounts Receivable with timely account follow-up and resolution of outstanding charges owed by third party payors. Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement issues for multi-facility, multi-specialty organization.

Essential Functions

+ Resolves insurance claim rejections/denials, and non-payment of claims by payors.

+ Identifies trends in billing and follow-up, in order to expedite resolution of insurance accounts and identify delays in processing.

+ Drafts appeals to insurance companies for reimbursement of monies owed.

+ Maintains daily account, follow-up work lists within department while maintaining organization’s productivity standards.

+ Ensures compliance and claims processed in accordance with payer contracts and policies, as well as to settle claims as appropriate.

+ Identifies, researches and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up.

+ Processes and maintain correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.

+ Handles submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.

+ Communicates appropriately with insurance companies, patients, co-workers and supervisors.

+ Performs other duties as assigned.

Qualifications

Education

+ High School Diploma Required: or equivalent

+ Associate Degree Preferred.

Experience

+ Minimum of 2 years Required: Experience in a billing or insurance account follow-up capacity

+ : Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered

+ Required: Medical terminology experience

+ Required: Knowledge of insurance processes and billing guidelines regulations

+ Preferred: Coding knowledge

+ Preferred: Epic experience

Credentials

+ Preferred: Medical Billing Certificate

+ Preferred: Certified Revenue Cycle Representative

+ Preferred: HealthStream Badge

Skills

+ Proficient use of computers including Microsoft Office applications (Word, Excel, PowerPoint, etc.) (Required

+ Skilled in 10-key by touch and keyboarding (Required)

+ Ability to operate general office equipment (Required)

+ Excellent verbal and written communication skills (Required)

+ Excellent attention to detail and ability to multi-task (Required)

+ Ability to work with minimal supervision, independently, as well as in a collaborative team setting (Required)

+ Strong organizational skills with the ability to prioritize and meet deadlines (Required)

+ Knowledge of Commercial and/or Government Payors (Required)

+ Ability to identify, research, and resolve credit balances, missing payments and unposted cash and payer recoupments, as it pertains to billing account follow-up. (Required)

+ Ability to work remotely with minimal oversight, independently, as well as in a collaborative team setting. (Required)

Working Conditions

Lifting

+ Consistently operates computer and other office equipment.

+ Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

+ Sedentary work.

Environmental Conditions

+ Predominantly operates in an office environment.

Mental/Visual

+ Ability to communicate and exchange accurate information.

+ The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

REQNUMBER: 113709