Billing Specialist II

Puyallup Tribal Health Authority • Tacoma, WA

6h • $24 - $27 • Onsite

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.

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
• PTHA is an approved loan repayment site for various student loan programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED