PeaceHealth

PeaceHealth

  • Vancouver, WA
  • Permanent
  • Full-time
Job Description:

PeaceHealth is looking for a Billing/Follow-up Specialist – Commercial Billing for a Full Time, 1.00 FTE, Day position. Per hour settlement begins at $1761, more depending upon experience.

This position will be carried out totally remote. If telecommuting, PeaceHealth will offer the caretaker with needed computer system devices. It is the duty of the caretaker to offer Internet gain access to.

Must live in Washington, Oregon, Texas or Alaska.

Must be totally immunized for COVID-19 consisting of 2 dosages of a 2-dose series or 1 dosage of a 1-dose series plus 14 days beyond the last dosage prior to begin date.

JOB SUMMARY

Responsible for all stages of billing/account follow-up utilizing accepted billing practices to guarantee comprehensive and constant account resolution to promote monetary health. This position guarantees appropriate compensation and proper days in Accounts Receivables with prompt account follow-up and resolution of exceptional charges owed by 3rd party payors. Accountable for all locations of billing and account follow-up consisting of claims submission, account follow-up with insurance coverage payors, and resolution of compensation problems for multi-facility, multi-specialty company.

ESSENTIAL FUNCTIONS

  • Resolve insurance coverage claim rejections/denials, and non-payment of claims by payors.
  • Identify patterns in billing and follow-up, preserving working understanding of state and federal billing standards in order to determine methods which our clients can speed up resolution of insurance coverage accounts and determine hold-ups in processing.
  • Responsible for preparing efficient attract insurance provider for repayment of cash owed.
  • Responsible for preserving day-to-day account, follow-up work lists within department while keeping company’s efficiency requirements.
  • Ensure compliancy is fulfilled and procedure claims in accordance with agreements and policies, in addition to adjudicate claims as suitable.
  • Responsible for recognizing, looking into, and fixing: credit balances, missing out on payments and unposted money as it refers to billing account follow-up.
  • Process, and preserve, within expectation, all correspondence gotten from clients and insurance provider as it relates to fix and prompt billing of claims, and invoice of payment.
  • Responsible for dealing with client conflicts and submission of problems to coding for evaluation to guarantee organizational and income cycle procedures are followed.
  • Communicate properly with insurance provider, clients, colleagues and managers.
  • Perform other responsibilities as designated.

QUALIFICATIONS

EDUCATION:

  • Associates Degree or Medical Billing Certificate chosen

EXPERIENCE/TRAINING:

  • Minimum of 2 years’ experience in a billing or insurance coverage account follow-up capability is needed; Formal training or college coursework from a medical coding recognized school, particular to medical billing in lieu of experience might be thought about
  • Medical terms experience needed
  • Knowledge of insurance coverage procedures and billing standards guidelines needed
  • Coding understanding chosen
  • Epic experience, particularly Resolute Billing Module experience chosen

OTHER SKILLS:

  • Proficient usage of computer systems consisting of Microsoft Office 2010 applications
  • Skilled in 10- crucial by touch and keyboarding
  • Ability to run basic workplace devices
  • Exceptional spoken and written interaction abilities
  • Excellent attention to information and capability to multi-task
  • Ability to deal with very little guidance, individually, along with in a collective group setting
  • Strong organizational abilities with the capability to focus on and satisfy due dates
  • Knowledge of Commercial and/or Government Payors
  • Ability to determine, research study, and deal with credit balances, missing out on payments and unposted money as it relates to billing account follow-up.

PHYSICAL/COGNITIVE REQUIREMENTS:

  • Work needs relatively light physical effort from as much as 65% of the time.
  • Ability to raise items weighing 30 pounds. or less.
  • Work is carried out under typical working conditions with appropriate lighting and ventilation.
  • Job tasks often need extreme concentration and attention to information (as much as 65% of work time).

See how PeaceHealth is devoted to.

For complete factor to consider of your abilities and capabilities, please connect an existing resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with relevant regional, state or federal laws.

PeaceHealth

  • Apply Now