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Billing Specialist
Billing SpecialistCoda • Portland, OR, United States
Billing Specialist

Billing Specialist

Coda • Portland, OR, United States
1 day ago
Job type
  • Full-time
Job description

Job Details

Level

Experienced

Job Location

Portland , OR

Position Type

Full Time

Education Level

2 Year Degree

Salary Range

$23.50 - $24.50 Hourly

Travel Percentage

Negligible

Job Shift

Day

Description

SUMMARY : The Billing Specialist is responsible for all aspects of insurance and patient billing.

ESSENTIAL RESPONSIBILITIES AND TASKS :

  • Facilitate timely and accurate pre-bill audit of billing system transactions.
  • Prepare and submit error free claims to various insurance companies.
  • Contact insurance companies to get authorization for patient services as necessary.
  • Identify and resolve patient billing complaints.
  • Count cash from PRC, prepare and balance DBR, enter into check log.
  • Prepare, review and send patient statements.
  • Prepare adjustments and rebills.
  • Post and file EOBs as received.
  • Respond to patient and colleague questions promptly and efficiently.
  • Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.
  • Maintain patient and invoice files by entering and adjusting data.
  • Enter data accurately and efficiently into posting, charge input and authorizations.
  • Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.
  • Verify that CPT, HCPCS and ICD-9 codes submitted to third-party payers are an accurate representation of the medical services rendered. Research any discrepancies noted prior to charge entry to ensure accuracy.
  • Notifying the Billing Manager of any regulatory and compliance issues relating to inaccuracies or aberrant billing patterns discovered during the billing process.
  • Achieve outcomes using methods that align with CODA's mission and values :
  • Communicate accurately and positively about recovery and the use of evidence-based treatments.
  • Use data and science to identify barriers, overcome obstacles, and inform decisions.
  • Be financially responsible; avoid waste, document accurately, seek new opportunities to serve.
  • Demonstrate compassion and respect for others.

SECONDARY RESPONSIBILITIES AND TASKS :

  • Provide back up to Customer Service as needed.

    • Qualifications

    REQUIRED EDUCATION, EXPERIENCE AND COMPETENCIES :

  • Associate Degree in Accounting or Business OR three (3) years of experience in a related field.
  • Two years' experience in a Medical Office setting.
  • Experience with ICD-9, ICD-10 and CPT coding issues.
  • Knowledge of MMIS and CIM (State Medicaid Reporting Systems).
  • Knowledge of insurance companies and working AR appeals.
  • Ability to convey a positive attitude and treat others with respect.
  • Ability to take personal responsibility for the quality and timeliness of work, and achieve results with little oversight.
  • Ability to diligently attend to details and pursue quality in accomplishing tasks.
  • Ability to utilize both oral and written communications skills to effectively communicate with patients, co-workers, community resources, supervisors, and various other individuals encountered in the course of performing work while maintaining patient confidentiality and establishing professional rapport.
  • Ability to operate a computer, utilize basic MS Office programs, and effectively navigate and maintain patient records in an electronic medical records system.

    • REQUIRED CERTIFICATIONS AND LICENSES :

  • None.

    • PHYSICAL DEMANDS :

  • Must be able to operate a personal computer, including reading from a computer monitor, keyboarding, and using a mouse.
  • Must be able to reach, bend, and handle objects.
  • Must be able to occasionally lift up to 25 lbs.

    • OTHER REQUIREMENTS :

  • Consistent attendance and punctuality are required of this position.
  • A negative result on all pre-employment, reasonable suspicion, and post-accident drug screens .
  • An acceptable criminal record as determined by DHS, the Oregon Administrative Rules, and the Oregon Revised Statutes; and no current supervised parole or probation.
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