Billing/Follow-up Specialist - Commercial Billing (Remote: OR, WA, AK) - PeaceHealth

**Description** PeaceHealth is seeking a **Billing/Follow-up Specialist - Commercial Billing (Remote) for a Full Time, 1.00 FTE, Day position** . The salary range for this job opening at PeaceHealth is $18.76 - $28.14. 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. **Must live in the States of Oregon, Washington or Alaska by date of hire!** **Job Summary** 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. **Essential Functions** + 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. **Qualifications** **Education** + High School Diploma Required: or equivalent. + Associate Degree Preferred. **Experience** + Minimum of 2 years Required: Experience in a billing or insurance account follow-up capacity. + Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered. + Required: Medical terminology experience. + Required: Knowledge of insurance processes and billing guidelines regulations. + Preferred: Coding knowledge. + Preferred: Epic experience. **Credentials** + Preferred: Medical Billing Certificate + Preferred: Certified Revenue Cycle Representative + Preferred: HealthStream Badge **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. REQNUMBER: 100125