(Internal) Accounting Technician II - Jail Biller

Skagit County • Mount Vernon, WA

1d • Onsite

About The Position

This is an internal promotional opportunity for current Skagit County employees. The position is contingent upon grant funding and may be eliminated if grant funding is eliminated in the future. Supervised by the Financial Services Manager, the Accounting Technician II performs a variety of financial and specialized medical billing functions in support of Public Health and correctional health services. Primary responsibilities include administration of medical and Medicaid billing for services provided at the Skagit County Community Justice Center, including claims processing, reconciliation, and compliance with applicable federal, state, and county requirements. The position will be responsible for developing processes and procedures to bill for allowable medical/Medicaid services provided in the jail, including insurance payments, benefits verification, and reconciliation of claims and records. Duties will also include auditing records and follow-up with insurance carriers and medical providers.

Requirements

• Associate degree in business, accounting, or closely related field.
• Two years’ experience in related accounting.
• Experience in medical billing and coding.
• Knowledge of principles and practices of governmental accounting, including accounts payable, receivable, and reconciliation.
• Knowledge of medical billing practices, including Medicaid (Apple Health), third-party insurance, and/or managed care systems.
• Knowledge of ICD-10, CPT coding standards and medical terminology.
• Knowledge of Washington State Medicaid billing rules.
• Knowledge of Electronic Health Record (EHR) systems and medical billing software.
• Knowledge of applicable federal, state, and local laws, regulations, and compliance requirements related to healthcare billing (ex HIPAA).
• Knowledge of office procedures, recordkeeping systems, and standard business software (e.g., Excel, financial systems).
• Ability to interpret and apply complex billing rules, regulations, and payer requirements.
• Ability to analyze medical records and determine billable services with a high degree of accuracy.
• Ability to reconcile discrepancies between medical records, claims, and payments.
• Ability to communicate effectively with medical providers, insurance representatives, and internal staff.
• Ability to maintain strict confidentiality of protected health and financial information.
• Ability to organize and prioritize work to meet deadlines in a fast-paced, detail-oriented environment.
• Ability to exercise independent judgment and problem-solving in resolving billing issues and denied claims.
• Ability to develop and implement new processes and workflows with minimal supervision.
• Ability to prepare clear, concise reports and maintain accurate financial records.
• Ability to work collaboratively across departments, including correctional staff and healthcare providers.
• Valid Washington State driver's license.
• Must pass a Skagit County Sheriff’s office background check.

Responsibilities

• Develop and implement a medical billing process for services provided at the Skagit County Community Justice Center.
• Review medical records and determine what can be billed to Medicaid, and submit claims for payment.
• Correct, complete and process claims for all payer codes.
• Verify benefits and follow-up on unpaid claims.
• Coordinate and clarify with providers, when necessary.
• Acts as central point of contact in seeking any required approval for patient direct services such as MOUD.
• Reconcile collections of reimbursements and audit bills and records related information.
• Communicate with medical professionals and billing to identify and resolve audit review issues.
• Prepare and maintain reports, worksheets, and summaries to keep management informed of the status of the 1115 waiver program.
• Provide support to Financial Services Manager during audits of the Department's financial records by the Washington State Auditor’s Office, Healthcare Authority or any other oversight bodies.
• May perform special projects or assignments requiring research and analysis of appropriate data to submit reports and/or recommendations to the Financial Services Manager.
• Works closely with team to meet strict deadlines.
• May train others.
• Represents Skagit County with a positive demeanor and professional work ethic.

Benefits

• Salary upon hire is in accordance with Skagit County promotion policy.
• Progressive increases are based on years of service with Skagit County, up to 8 total steps (top step $41.04/hr.).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree