Billing/Follow-up Specialist -Government (Remote) - OR, WA, AK
About the position
PeaceHealth is seeking a Billing/Follow-up Specialist - Government for a full-time position responsible for managing all phases of billing and account follow-up. The role focuses on ensuring thorough and consistent account resolution to promote financial health, including claims submission, follow-up with insurance payors, and resolving reimbursement issues for a multi-facility, multi-specialty organization.
Responsibilities
Resolve insurance claim rejections/denials and non-payment of claims by payors.
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Identify trends in billing and follow-up to expedite resolution of insurance accounts.
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Draft appeals to insurance companies for reimbursement of owed monies.
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Maintain daily account follow-up work lists while meeting productivity standards.
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Ensure compliance with payer contracts and policies for claims processing.
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Identify, research, and resolve credit balances, missing payments, payer recoupments, and unposted cash.
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Process and maintain correspondence from patients and insurance companies regarding billing and payment.
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Submit issues to coding for review to ensure compliance with organizational processes.
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Communicate effectively with insurance companies, patients, co-workers, and supervisors.
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Perform other duties as assigned.
Requirements
High School Diploma or equivalent required; Associate Degree preferred.
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Minimum of 2 years of experience in a billing or insurance account follow-up capacity required.
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Formal training or college coursework from a medical coding accredited school may be considered in lieu of experience.
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Experience with medical terminology required.
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Knowledge of insurance processes and billing guidelines regulations required.
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Proficient use of computers including Microsoft Office applications required.
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Skilled in 10-key by touch and keyboarding required.
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Excellent verbal and written communication skills required.
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Strong organizational skills with the ability to prioritize and meet deadlines required.
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Ability to work independently and collaboratively in a team setting required.
Nice-to-haves
Coding knowledge preferred.
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Epic experience preferred.
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Medical Billing Certificate preferred.
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Certified Revenue Cycle Representative preferred.
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HealthStream Badge preferred.
Benefits
403(b) retirement plan
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403(b) matching contributions
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Continuing education credits
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Dental insurance
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Disability insurance
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Employee assistance program
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Health insurance
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