Billing Specialist

Northwest Orthopaedic Specialists•Spokane, WA

6d•Hybrid

About The Position

The Billing Specialist is responsible for preventing, tracking, and following up on denied and/or unpaid claims. The role reviews claims to support maximum reimbursement, researches payments with missing remittance information or misapplied payments, and follows up with insurance carriers and patients as needed. The position requires consistent productivity and quality in a challenging, fast-paced environment. Candidates must reside within commuting distance of Spokane, Washington. A hybrid-remote schedule may be available after successful completion of the first 90 days of employment. The position may be scheduled for five 8-hour shifts per week or four 10-hour shifts per week. During the first 90 days of employment, the employee must work five 8-hour shifts per week for training.

Requirements

High school graduate or equivalent.
Must reside within commuting distance of Spokane, Washington.

Nice To Haves

One year of experience in medical coding or billing, including experience with denials, CPT, and ICD-10.
Familiarity with medical accounts receivable.

Responsibilities

Follow up promptly on claim denials, exceptions, and exclusions.
Contact insurance companies to determine why claims are unpaid.
Identify denial trends and help develop strategies to prevent denials.
File appeals as needed to resolve payer denials, work with payers, and monitor appeals in process.
Track and document all denial and appeal activity.
Research payments with missing remittance information or misapplied payments.
Keep accounts receivable current according to organizational benchmarks.
Adhere to all HIPAA guidelines and regulations.
Perform other duties as assigned.