Professional Biller II, Lead - Legacy Health

This is a hybrid-remote position - incumbents, who reside in Oregon or Washington only, may work 1-2 days a week at an assigned Legacy Health location, and other days may work remotely at home, on the road or in a satellite location for the remainder of their workweek.  

All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new hire paperwork. This position may require initial training and orientation to be site-based, before transitioning to the hybrid schedule. 

Every member of the Legacy community fulfills a role in our mission of making life better for others. As a Biller Lead, you’ll bring enthusiasm and expertise to your work, providing information with accuracy and professionalism. You’ll build relationships and grow in expertise, supported by our caring community.

Coordinates the day-to-day operations of the Billing staff at a designated site and/or department while also performing the duties of a Biller 2. Additional duties include coordinating workflow, problem solving and creating staff schedules. 

Performs medical billing functions for complex (specialty) accounts requiring advanced knowledge of multi-payor system and all specialty billing procedures and contracts. Reviews itemized bills to verify accuracy and completeness of charges. Researches denied or incomplete bills. Codes and/or verifies ICD-9 coding. May specialize in a general payor type or bill type such as Capitation, Commercial, Government, or Specialty.

Education:

High school graduate or equivalent.

Experience:

One year of directly applicable healthcare business office experience (billing/credit/collections).

Skills:

Demonstrated familiarity with specialty billing procedures and contracts.

Demonstrated flair for detail.

Demonstrated knowledge of multi-payor systems.

Demonstrated knowledge of billing/collection rules and regulations.

Knowledge of online systems for eligibility and status review of claims preferred.

Net Typing of 40 wpm and PC based computer skills.

Familiarity with 10 key.

Knowledge of medical terminology.

Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.

Demonstrated effective interpersonal skills which promote cooperation and teamwork.

Ability to withstand varying job pressures and organize/prioritize related job tasks.

Excellent public relations skills and demonstrated ability to communicate in calm, businesslike manner.

Ability to adapt to change.

LEGACY’S VALUES IN ACTION:

Follows guidelines set forth in Legacy’s Values in Action.

Equal Employment Opportunity/Vets/Disabled