Insurance Billing Specialist - Float

Catholic Charities Serving Central Washington•Yakima, WA

2d•$23 - $28•Onsite

About The Position

The Insurance Billing Specialist float is responsible for performing a variety of billing, coding, cash posting, and insurance claim management tasks across multiple departments or locations. This role involves ensuring the timely reimbursement for services rendered, handling everything from claim submissions and follow-ups to posting patient payments. The specialist must also identify and resolve Coordination of Benefits (COB) issues or any other insurance-related discrepancies, ensuring accurate billing practices and compliance with regulations. The position requires adaptability, attention to detail, and strong communication skills to effectively manage the billing process and resolve any payment or insurance issues.

Requirements

Standing, walking, bending, lifting or performing other work requiring low physical exertion, talking and hearing and adequate vision on a regular basis to perform job requirements. These physical demands are required up to 90% of the time.
High School Diploma
2 years’ experience with proficiency in billing software, electronic health record (EHR) systems, and cash posting platforms.
Knowledge of WA State data requirements related to community mental health
3 years billing, medical billing insurance or related experience required (physician billing preferred)
Good Customer Service
Knowledge of medical terminology, coding (CPT, ICD-10), insurance policies, COB guidelines, and cash posting procedures
Able to work independently or as part of a team
Ability to multi-task and strong attention to detail to ensure the accuracy of billing tasks
Computer word processing using Microsoft Office and Google Docs, including excel and 10 key by touch
Being cleared by criminal background check and fingerprinting when required

Nice To Haves

College Degree or Certificate of Completion (Computer Science, Behavioral Analytics, Medical Billing Certificate, preferred)

Responsibilities

Review explanation of benefits from the insurance carriers to post appropriate payments and denial codes
Insurance verification, claim submission and follow-up, billing and coding, cash posting, coordination of benefits (COB) and monitoring, insurance issues and billing resolution, compliance with HIPAA and relevant laws, regulations, and policies, accurate and up to date documentation, high standard of customer service
Complete Applied Behavioral Health (ABA) billing including obtaining authorization for all payers that require prior authorization and authorization extensions
Identify remittances with a secondary payer and take appropriate action to send to secondary carriers
Analyze balance reports to ensure accurate postings
Input zero payment vouchers and insurance denials from all payer sources in a timely manner
Assist staff with payment and adjustment questions and research as needed
Post manual payments not posted electronically; post allowances, adjustments, and write-offs/write-ups
Process refunds and recoups within the EHR system
Maintain confidentiality of all business practices and adhere to all HIPAA guidelines/regulations
Participate in Managed Care meetings for data updates as needed
Respond to emails in a timely and professional manner
Maintain current knowledge of CPT codes and descriptions
Stay informed with current insurance billing requirements and changes
Assist with special projects, and other duties as assigned
Perform other duties as assigned

Benefits

13 paid holidays
12 days of vacation
12 days of sick leave per year
Health insurance including medical & prescription coverage, with optional dental and vision insurance plans. Majority of premiums paid by Catholic Charities
Retirement 403(b) Plan: employee contributions commence upon employment; Catholic Charities contributes 2% of monthly income and matches up to 4% of employee contributions following 6 months of employment
Basic Life Insurance paid 100% by Catholic Charities
Flexible Spending Account eligibility following 6 months of employment
Education Assistance Program reimbursing up to $5,250 per year for approved continuing education after 6 months of employment
Additional voluntary insurances including supplemental life, accidental death & dismemberment (AD&D), critical illness, long term disability, accident, and ID theft
Employee Assistance Program includes 3 counseling sessions per year, legal consultations, financial coaching, and other wellbeing tools
Annual longevity awards begin at 5 years of employment