Billing Specialist

CODA INC•Portland, OR

14d•$24 - $25•Onsite

About The Position

The Billing Specialist is responsible for all aspects of insurance and patient billing. The position facilitates timely, accurate billing, resolves billing issues, maintains patient and invoice records, and provides billing information and support. The role also works in alignment with CODA’s mission and values by communicating positively about recovery and evidence-based treatments, using data and science to inform decisions, acting with financial responsibility, and demonstrating compassion and respect. The position provides backup to Customer Service as needed.

Requirements

Associate degree in Accounting or Business, or three years of experience in a related field.
Two years of experience in a medical office setting.
Experience with ICD-9, ICD-10, and CPT coding issues.
Knowledge of MMIS and CIM (State Medicaid Reporting Systems).
Knowledge of insurance companies and experience working AR appeals.
Ability to convey a positive attitude and treat others with respect.
Ability to take responsibility for work quality and timeliness and achieve results with little oversight.
Attention to detail and commitment to quality.
Effective oral and written communication skills for interacting with patients, coworkers, community resources, supervisors, and others while maintaining patient confidentiality and professional rapport.
Ability to operate a computer, use basic MS Office programs, and navigate and maintain patient records in an electronic medical records system.
Ability to operate a personal computer, read from a computer monitor, keyboard, and use a mouse; reach, bend, and handle objects; and occasionally lift up to 25 lbs.
Consistent attendance and punctuality.
Negative results on pre-employment, reasonable suspicion, and post-accident drug screens.
Acceptable criminal record as determined by DHS, Oregon Administrative Rules, and Oregon Revised Statutes, with no current supervised parole or probation.

Responsibilities

Facilitate timely and accurate pre-bill audits of billing system transactions.
Prepare and submit error-free claims to insurance companies.
Contact insurance companies to obtain authorization for patient services as needed.
Identify and resolve patient billing complaints.
Count cash from PRC, prepare and balance DBR, and enter information into the check log.
Prepare, review, and send patient statements.
Prepare adjustments and rebills.
Post and file EOBs as received.
Respond promptly and efficiently to questions from patients and colleagues.
Resolve billing issues by discussing contracts with third-party payers, explaining insurance contracts to patients, and negotiating settlements.
Maintain patient and invoice files by entering and adjusting data.
Accurately and efficiently enter data into posting, charge input, and authorization systems.
Collect, analyze, and summarize third-party billing, pending account, and late-charge data and trends to provide billing information.
Verify that CPT, HCPCS, and ICD-10 codes submitted to third-party payers accurately represent services rendered.
Research discrepancies before charge entry to ensure accuracy.
Notify the Billing Manager of regulatory or compliance issues related to inaccuracies or aberrant billing patterns discovered during billing.
Use data and science to identify barriers, overcome obstacles, and inform decisions; act with financial responsibility; communicate positively about recovery and evidence-based treatments; and demonstrate compassion and respect.
Provide backup to Customer Service as needed.