Accounts Receivable Specialist

NORTHWEST SURGICAL•Vancouver, WA

3d•$26 - $37•Onsite

About The Position

Rebound is looking for an Insurance Accounts Receivable Specialist to join our Business Office team. The insurance biller is responsible for preparing, submitting, and resolving insurance claims for both physician and ASC facility services. This role uses Epic billing workflows to ensure timely and accurate claim submission, correct claim edits, manage rejections, and follow up on outstanding accounts. The biller plays a key role in reducing A/R days, improving clean claim rates, and maximizing reimbursement in compliance with payer rules and organizational policies. This position is on-site and requires regular attendance at our Stonemill location. Remote work is not available for this role.

Requirements

High school graduate or equivalent required.
Minimum of two years experience in medical billing in a healthcare related field, physician’s office, hospital or clinic.
Experience with Medicare, Medicaid and commercial payers.
Additional appropriate education may be substituted for applicable experience or an equivalent combination of education, training and/or experience.
Excellent communication and public relations skills, both verbal and written.
Ability to work both independently and interdependently with staff and team members with limited supervision.
Excellent problem solving and critical thinking skills.
Proficient use of computers including MS Office applications.
Must demonstrate an understanding of the principles of service excellence and be able to maintain a professional demeanor and customer service orientation under busy and difficult situations.

Nice To Haves

College level accounting or business courses preferred.
Experience in the field of collections, customer service, and insurance billing and reimbursement preferred.
Working knowledge of CPT/ICD10 coding, HCPCS, modifiers and payer billing guidelines.
ASC billing knowledge preferred.
Knowledge of insurance billing procedures, collection laws, and medical terminology preferred.

Responsibilities

Support an environment that reinforces Rebound’s mission and Core Values of Superior Service, Teamwork, Integrity, Innovation, Quality and Recognition.
Submit professional and facility claims electronically through Epics module and clearinghouse interface.
Validate claim data using Charge Review and Claim Edit work queues, correction errors prior to submission.
Confirm insurance coverage, place of service, provider information, and coding accuracy prior to release.
Resubmit corrected claims when needed and follow up on rejected or pended submissions.
Work assigned Charge Review, Claim Edit, and Follow up work queues daily to ensure clean claims and timely payer responses.
Route claims to coding or registration or contracting teams when discrepancies impact billing.
Identify trends or repeat edit issues and escalate to management or system support for root cause resolution.
Review payer rejections and denials in Epic and take appropriate action to correct and resubmit claims.
Coordinate with insurance companies via web portals or phone calls to resolve claims issues.
Document all actions taken in account notes to ensure audit trail and communication across teams
Follow all CMS and commercial payer billing guidelines, including NCCI edits, modifiers, and place of service requirements.
Stay updated on payer-specific requirements for both professional and facility claims
Maintain knowledge of billing for multiple service lines, including E&M, surgical procedures and ancillary services.
Maintain a high degree of confidentiality and abide by all HIPAA rules and regulations.
Perform other duties as assigned.