The Billing Specialist is responsible for prevention, tracking, and follow up of denied and/or unpaid claims. The Billing Specialist reviews claims to ensure maximum reimbursement, researches payments with missing remit information or misapplied payments, and follows up with insurance carriers and patients as needed. This position maintains consistent productivity and quality of work in a challenging, fast paced environment.
Candidates must reside within commuting distance of Spokane, WA
Opportunity for a hybrid-remote schedule after successful 90 days.
ESSENTIAL FUNCTIONS:
- Timely follow up on claim denials, exceptions or exclusions.
- Contacting insurance companies to determine reasons claims are unpaid.
- Identifying denial trends to help create strategies to prevent denials wherever possible.
- File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.
- Research of payments with missing remit information or misapplied payments.
- Ensure that accounts receivable is kept current according to organizational benchmarks.
- Adheres to all HIPAA guidelines/regulations.
- Other duties as assigned.
QUALIFICATIONS:
Required:
- High School Graduate or equivalent.
Preferred:
- At least one year of experience in medical billing or coding, with familiarity with CPT and ICD-10 codes.
- Hands-on experience working denied medical claims, including researching denial reasons, determining next steps, and tracking claims through resolution.
- Experience regularly working directly with insurance payers by phone or through payer portals to resolve denied or unpaid claims.
- Familiarity with medical accounts receivable (A/R) follow-up.
SHIFT:
- 5, 8-hour shifts per week or 4, 10 hour shifts per week. Will consider either. MUST work 5, 8-hour shifts per week for training during the first 90 days of employment.
BENEFITS:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Basic Life & ADD Insurance
- Long Term Disability Insurance
- Voluntary Short Term Disability Insurance
- Voluntary Life & ADD Insurance
- Health Savings Account
- Employee Assistance Program
- Voluntary AFLAC Options
- Employee Discount
- 401k Employer Match after 1 year
- 401k Profit Sharing after 1 year
- PTO (.0615 per hour paid)
- 7 paid holidays
Related Jobs: Medical Billing Specialist, Medical Biller, Certified Professional Coder
Hiring Range: Billing Specialist - $18.50 - $32.43