Billing Spec III

BestCare Treatment Services•Redmond, OR

6d•Hybrid

About The Position

JOB SUMMARY: The Billing Specialist III serves as a primary contact/resource for all aspects of the revenue cycle, provides training to new employees and BestCare staff including “shoulder-to-shoulder” training, completes special project work and reporting as needed. ESSENTIAL FUNCTIONS: Serves as a subject-matter expert for the Billing staff to provide training and help resolve issues; Develops training documents and provides training to new BestCare staff; Serves as a primary contact and resource for all BestCare sites on all aspects of the revenue cycle, including coding, billing, and documentation best practices; Primarily responsibility to provide revenue-cycle reporting; Completes special projects as assigned; May be required to perform billing functions of other Billing staff, as needed; Other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration; Supports the organization’s commitment to equity and inclusion, fostering an environment of open-mindedness, cultural awareness and respect for all individuals; Aligns department goals with organizational strategic initiatives; Complies with Code of Conduct, Business Ethics, Employee Handbook, and all relevant policies and OARs; Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes; Completes assigned training timely and satisfactorily, and attends other seminars, training, and educational opportunities to develop professional skills and abilities; Ensures that any required certifications and/or licenses are kept current and renewed timely; Works independently and collaboratively as a positive member of the BestCare team; Performs other organizational duties as assigned.

Requirements

Associate’s degree in related field or HSD/GED and equivalent in related education/experience
Minimum 4 years of experience with Epic software systems
Minimum 4 years of experience with revenue cycle billing
Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period:
Proficiency in Epic Software Systems
High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software
Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), familiarity with CMS billing rules and associated billing requirements
Strong interpersonal and customer service skills
Strong communication skills (oral and written)
Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through
Excellent time management skills with a proven ability to meet deadlines
Critical thinking skills
Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes
Ability to build and maintain positive relationships
Ability to function well and use good judgment in a high-paced and at times stressful environment
Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively
Ability to work effectively and respectfully in a diverse, multi-cultural environment
Ability to work independently as well as participate as a positive, collaborative team member.

Nice To Haves

Bilingual in English/Spanish a plus

Responsibilities

Serves as a subject-matter expert for the Billing staff to provide training and help resolve issues
Develops training documents and provides training to new BestCare staff
Serves as a primary contact and resource for all BestCare sites on all aspects of the revenue cycle, including coding, billing, and documentation best practices
Primarily responsibility to provide revenue-cycle reporting
Completes special projects as assigned
May be required to perform billing functions of other Billing staff, as needed
Other related duties as assigned
Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration
Supports the organization’s commitment to equity and inclusion, fostering an environment of open-mindedness, cultural awareness and respect for all individuals
Aligns department goals with organizational strategic initiatives
Complies with Code of Conduct, Business Ethics, Employee Handbook, and all relevant policies and OARs
Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes
Completes assigned training timely and satisfactorily, and attends other seminars, training, and educational opportunities to develop professional skills and abilities
Ensures that any required certifications and/or licenses are kept current and renewed timely
Works independently and collaboratively as a positive member of the BestCare team
Performs other organizational duties as assigned