NHS Human Services, Inc.

Description

PeaceHealth is seeking a Billing/Follow-up Specialist - Government Billing (Remote) for a Full Time, 1.00 FTE, Day position. The general salary range for this job opening at PeaceHealth is $18.76 – $28.14. The actual hiring rate is dependent upon several factors, including but not limited to, the job/position responsibilities, location, terms of the applicable collective bargaining agreement, education, training, work experience, seniority, work performance, etc.

*Must live in Oregon, Washington, Texas or Alaska.*

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.

Position Details:

• 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.

What you bring:

• High School Diploma or equivalent required.

• Associate Degree Preferred.

• Minimum of 2 years experience in a billing or insurance account follow-up capacity 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 preferred.

• Medical Billing Certificate preferred.

• Certified Revenue Cycle Representative preferred.

• HealthStream Badge preferred.

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.

PeaceHealth requires a completed Primary Vaccine Series (e.g., 2 dose monovalent Pfizer, Moderna or Novavax series or 1 dose J&J vaccine series) or be Up to Date (receiving the most recent Pfizer/Moderna bivalent vaccine/booster) for COVID-19 vaccination prior to their start date. PeaceHealth has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due to medical/religious reasons. For caregivers that will be working in Oregon there is a personal vaccine exemption form that may be requested.

REQNUMBER: 84220