Billing/Follow-up Specialist - Professional Billing (PB)

Billing/Follow-Up Specialist - Professional Billing (PB)

Full Time | 1.00 FTE | Day Shift | Remote

Salary Range: $19.62 - $29.44 per hour

The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Remote Work Requirements: This is a remote position. Candidates must reside and perform work within Oregon, Washington or Alaska.

Help Improve How Patients Experience Healthcare Billing

If you're the type of person who enjoys solving problems, investigating the "why" behind claim denials, and finding solutions that help patients and providers receive accurate reimbursement, this is an opportunity to make a meaningful impact while working remotely for a mission-driven healthcare organization.

Why PeaceHealth? Why Now?

• Be part of a team that is actively reimagining and improving billing and follow-up workflows to create greater efficiency and better outcomes.
• Take ownership of complex accounts and use your critical thinking skills to identify issues, resolve barriers, and move claims toward payment.
• Work independently while collaborating with experienced teammates who share knowledge and support one another's success.
• Help patients navigate billing challenges by ensuring claims are processed accurately and follow-up is completed thoroughly.
• Join a stable healthcare organization where your expertise directly contributes to the financial health of the communities we serve.

What You'll Do

In this role, follow-up is the key to success. You'll work from established work queues, investigate outstanding accounts, communicate with insurance companies and patients, and help ensure claims are resolved correctly the first time whenever possible.

Key Responsibilities

• Review outstanding accounts and prioritize follow-up activities.
• Contact insurance carriers regarding unpaid, delayed, or denied claims.
• Research claim denials and determine the root cause of payment delays.
• Resolve billing issues and identify the best path toward claim payment.
• Partner with patients, insurance representatives, coding teams, and internal stakeholders to obtain needed information.
• Document account activity thoroughly and accurately.
• Submit appeals and supporting documentation when appropriate.
• Monitor assigned work queues and maintain productivity expectations.
• Identify recurring trends and opportunities for process improvement.
• Help support workflow enhancements and operational efficiencies within Professional Billing.
• Communicate professionally and effectively with patients, payors, and colleagues.
• Maintain compliance with payer guidelines, contracts, and organizational policies.
• Perform other duties as assigned.

What We're Looking For

Required Qualifications

Education

• High School Diploma or equivalent required
• Associate Degree preferred

Experience

• Two (2) years of billing, insurance follow-up, revenue cycle, or related healthcare financial experience required

Formal medical billing coursework or training from an accredited program may be considered in lieu of experience.

What Makes Someone Successful in This Role

• Strong critical thinking and problem-solving skills
• Excellent written and verbal communication skills
• Exceptional attention to detail
• Ability to work independently with minimal supervision
• Self-motivated and driven to meet goals
• Strong collaboration skills and willingness to share knowledge with teammates
• Effective time management and organizational skills
• Knowledge of insurance billing processes and reimbursement guidelines
• Medical terminology experience

Nice to Have

Don't worry if you don't check every box. If you're experienced in healthcare billing and account follow-up and are excited about the opportunity, we encourage you to apply.

Additional experience that may help you succeed includes Epic experience, previous professional billing follow-up work, understanding Explanation of Benefits (EOBs), denials management, payment delays, or prior PeaceHealth experience.

Our Culture

At PeaceHealth, we believe every caregiver contributes to something bigger than themselves. We foster a culture built on respect, compassion, collaboration, and inclusion, where diverse perspectives are valued and team members are empowered to bring their ideas forward.

Whether you're working remotely or alongside colleagues across our network, you'll find a supportive environment that encourages professional growth, knowledge sharing, and meaningful work that makes a difference in the lives of patients and communities.

Total Rewards & Benefits

PeaceHealth is committed to supporting the physical, emotional, financial, social, and spiritual wellbeing of our caregivers. Eligible caregivers enjoy a comprehensive benefits package that includes:

• Medical, dental, and vision coverage
• PeaceHealth retirement plan with employer contributions and matching opportunities
• Generous paid time off (PTO)
• Employer-paid life and disability insurance
• Tuition reimbursement and continuing education support
• Wellness resources and programs
• Expanded Employee Assistance Program (EAP) and mental health benefits
• Flexible remote work environment

Working Conditions

• Primarily remote office environment
• Regular use of computers and standard office equipment
• Sedentary work
• Ability to communicate and exchange accurate information
• Close visual acuity required for reviewing accounts, documentation, and electronic records

For full consideration of your skills and abilities, please attach a current resume with your application.

PeaceHealth is an EEO Affirmative Action Employer/Veterans/Disabled in accordance with applicable local, state, and federal laws.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

This is a remote position. If selected, candidates must reside and perform work within Oregon, Washington, or Alaska, and must be located within a one-hour drive of a main PeaceHealth hospital facility.