PeaceHealth Billing and Follow-up Specialist - Hospital Commercial Billing Job in Vancouver, Washington

Req ID: 143070

PeaceHealth is seeking a Billing and Follow-up Specialist - Hospital Commercial Billing for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

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 acceptable reimbursement and appropriate days in Accounts Receivables 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

  1. Resolve insurance claim rejections/denials, and non-payment of claims by payors.

  2. Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines in order to identify ways in which our patients can expedite resolution of insurance accounts and identify delays in processing.

  3. Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.

  4. Responsible for maintaining daily account, follow-up work lists within department while maintaining organization’s productivity standards.

  5. Ensure compliancy is met and process claims in accordance with contracts and policies, as well as to adjudicate claims as appropriate.

  6. Responsible for identifying, researching, and resolving: credit balances, missing payments and unposted cash as it pertains to billing account follow-up.

  7. Process, and maintain, within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.

  8. Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.

  9. Communicate appropriately with insurance companies, patients, co-workers and supervisors.

  10. Perform other duties as assigned.

QUALIFICATIONS

EDUCATION:

  • High School Diploma or equivalent required

  • Associates Degree or Medical Billing Certificate preferred

EXPERIENCE/TRAINING:

  • Minimum of two years’ experience in a billing or insurance account follow-up capacity is required; Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered

  • Medical terminology experience required

  • Knowledge of insurance processes and billing guidelines regulations required

  • Coding knowledge preferred

  • Epic experience, specifically Resolute Billing Module experience preferred

OTHER SKILLS:

  • Proficient use of computers including Microsoft Office 2010 applications

  • Skilled in 10-key by touch and keyboarding

  • Ability to operate general office equipment

  • Exceptional verbal and written communication skills

  • Excellent attention to detail and ability to multi-task

  • Ability to work with minimal supervision, independently, as well as in a collaborative team setting

  • Strong organizational skills with the ability to prioritize and meet deadlines

  • Knowledge of Commercial and/or Government Payors

  • Ability to identify, research, and resolve credit balances, missing payments and unposted cash as it pertains to billing account follow-up.

Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.

About PeaceHealth

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 800 physicians and providers, a comprehensive laboratory system, and ten medical centers serving both urban and rural communities throughout the Northwest. In 1890, Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues to serve communities when invited to do so with a spirit of collaboration and stewardship – the spirit of health.

We offer competitive compensation, a robust benefits package at http://www.peacehealth.org/sites/default/files/externalallbenefits_overview.pdf and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver, WA community please visit our homepage: www.peacehealth.org/careers .

Get a feeling for the Spirit of PeaceHealth through this three-minute video , and visit us on Facebook at https://www.facebook.com/PeaceHealthCareers or LinkedIn at http://www.linkedin.com/company/peacehealth !

Questions? Review our Employment FAQ or email Recruitment@peacehealth.org . Please note this email does not accept resumes or applications.

Location: Vancouver, WA, Shared Services Center (802)

Job Category: Accounting/Finance/Revenue Cycle

Shift: Day

Shift Length: 8 Hours

FTE: 1.0

Work Type: Full Time

Hourly compensation starts at: $16.59, more depending on experience

Required Certifications/Licensure:

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.

Posting Notes: Vancouver, WA || Accounting/Finance/Revenue Cycle || Full Time || PATIENT ACCOUNTING