Billing/Follow-up Specialist -Government (Remote) - OR, WA, AK

Remote Full-time
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
Ā• Resolve insurance claim rejections/denials and non-payment of claims by payors.
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Ā• Identify trends in billing and follow-up to expedite resolution of insurance accounts.
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Ā• Draft appeals to insurance companies for reimbursement of owed monies.
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Ā• Maintain daily account follow-up work lists while meeting productivity standards.
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Ā• Ensure compliance with payer contracts and policies for claims processing.
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Ā• Identify, research, and resolve credit balances, missing payments, payer recoupments, and unposted cash.
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Ā• Process and maintain correspondence from patients and insurance companies regarding billing and payment.
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Ā• Submit issues to coding for review to ensure compliance with organizational processes.
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Ā• Communicate effectively with insurance companies, patients, co-workers, and supervisors.
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Ā• Perform other duties as assigned.

Requirements
Ā• High School Diploma or equivalent required; Associate Degree preferred.
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Ā• Minimum of 2 years of experience in a billing or insurance account follow-up capacity required.
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Ā• Formal training or college coursework from a medical coding accredited school may be considered in lieu of experience.
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Ā• Experience with medical terminology required.
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Ā• Knowledge of insurance processes and billing guidelines regulations required.
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Ā• Proficient use of computers including Microsoft Office applications required.
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Ā• Skilled in 10-key by touch and keyboarding required.
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Ā• Excellent verbal and written communication skills required.
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Ā• Strong organizational skills with the ability to prioritize and meet deadlines required.
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Ā• Ability to work independently and collaboratively in a team setting required.

Nice-to-haves
Ā• Coding knowledge preferred.
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Ā• Epic experience preferred.
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Ā• Medical Billing Certificate preferred.
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Ā• Certified Revenue Cycle Representative preferred.
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Ā• HealthStream Badge preferred.

Benefits
Ā• 403(b) retirement plan
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Ā• 403(b) matching contributions
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Ā• Continuing education credits
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Ā• Dental insurance
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Ā• Disability insurance
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Ā• Employee assistance program
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Ā• Health insurance

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