Billing/Follow-up Specialist - Government Billing (Remote)

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Posted 6 days ago United States Salary undisclosed
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Job Description

Description Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.?PeaceHealth is seeking a Billing/Follow-up Specialist - Government Billing for a Full Time, Day position. Hourly compensation starts at $17.61, more depending on experience.Remote: Must reside in Oregon, Washington, or Alaska.JOB SUMMARYResponsible 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+ Resolve insurance claim rejections/denials, and non-payment of claims by payors.+ 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.+ Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.+ Responsible for maintaining daily account, follow-up work lists within department while maintaining organization's productivity standards.+ Ensure compliancy is met and process claims in accordance with contracts and policies, as well as to adjudicate claims as appropriate.+ Responsible for identifying, researching, and resolving: credit balances, missing payments and unposted cash as it pertains to billing account follow-up.+ 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.+ Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.+ Communicate appropriately with insurance companies, patients, co-workers and supervisors.+ Perform other duties as assigned.QUALIFICATIONSEDUCATION:+ 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.SHARED SERVICES PHYSICAL/COGNITIVE REQUIREMENTS:+ Work requires fairly light physical exertion from up to 65% of the time.+ Ability to lift objects weighing 30 lbs. or less.+ Work is performed under normal working conditions with adequate lighting and ventilation.+ Job duties frequently require intense concentration and attention to detail (up to 65% of work time).See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility () .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: 13047