Billing Specialist II
About The Position
Step Into a Role Where Your Billing Expertise Drives Impact & Excellence! As a Billing Specialist II at the Puyallup Tribal Health Authority (PTHA), you will perform billing functions — including claim processing, payment posting, insurance verification, and denial resolution — while also supporting team workflows, reporting, and compliance. Your work ensures patient accounts are managed with precision, timeliness, and full alignment with payer requirements and organizational standards. This is more than a billing position — it’s an opportunity to lead, influence processes, and make a meaningful impact on both operations and patient care. You’ll play a critical role in strengthening the revenue cycle while supporting a mission-driven organization committed to community health.
Requirements
- High School Diploma or GED required
- Three (3) years of recent experience in medical billing or revenue cycle operations
Nice To Haves
- Dental billing experience preferred
Responsibilities
- Process high volumes of medical, dental, and orthodontic insurance claims using ICD-10, CPT and HCPCS coding standards to ensure accurate and timely billing.
- Verify patient insurance eligibility, benefits, and payer requirements to support compliant claim submission and reimbursement.
- Generate, submit, and reconcile electronic (837/835), CMS-1500, and ADA claims while ensuring adherence to payer guidelines.
- Review, research, and resolve denied or rejected claims by correcting billing errors, coordinating coding revisions, and resubmitting claims for payment.
- Manage assigned accounts receivable (A/R), monitor aging reports, and perform follow up activities to improve collections and reduce outstanding balances.
- Post insurance and patient payments, adjustments, and denials accurately while reviewing Explanation of Benefits (EOBs) and remittance documentation.
- Prepare and distribute patient statements, process Medicaid eligibility updates and spend-down billing, and monitor payer reports to identify and resolve unbilled claims.
- Analyze billing trends, identify process inefficiencies or system issues, and recommend workflow improvements to enhance billing accuracy and productivity.
- Train and support new billing staff by providing guidance on billing systems, workflows, and organizational procedures.
- Maintain compliance with HIPAA, OSHA, confidentiality, and organizational policies while participating in required annual regulatory and safety training.
Benefits
- Supportive environment that values a healthy work/life balance
- Medical/Dental/Vision monthly premiums paid 100% by PTHA for employees (health coverage begins the first of the month following hire date)
- (13) annual leave (vacation) days
- (13) annual sick leave days
- (18+) annual paid holidays including a birthday holiday
- 401(k) with annual profit-sharing contributions after (1) year of service
- Life and AD&D insurance coverage
- Approved loan repayment site for various student loan programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
