Billing/Follow-up Specialist - REMOTE

Job Description

Description

PeaceHealth is seeking a Billing/Follow-up Specialist - Commercial Billing for a Full Time, 1.00 FTE, Day position.  Hourly compensation starts at $17.61, more depending on experience.

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

Must reside in Washington, Oregon, 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 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.

Details of the position:

• 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.

What you bring:

• Associates Degree or Medical Billing Certificate preferred
• 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

For a full description of the position, or for questions, please email [email protected]

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.

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.