Medical Biller I - PRN

Whitman Hospital and Medical ClinicsColfax, WA
Onsite

About The Position

Medical Biller I is responsible for supporting the billing and accounts receivable functions within Patient Financial Services. This position assists with basic billing tasks, claim processing, and follow-up activities under the guidance of senior staff. The Medical Biller I works with patients, insurance payers, and internal departments to ensure accurate account handling and a positive patient financial experience. This role is designed to build foundational knowledge of hospital billing processes within a Critical Access Hospital (CAH) environment.

Requirements

  • High school diploma or GED
  • Basic computer skills and familiarity with Microsoft Office
  • Strong attention to detail and willingness to learn
  • Good communication and customer service skills

Nice To Haves

  • Prior healthcare or billing experience
  • Basic knowledge of medical terminology
  • Exposure to electronic medical record systems such as Epic
  • Coursework in medical billing or healthcare administration

Responsibilities

  • Serve as a point of contact for patient billing inquiries, providing courteous and clear communication
  • Educate patients on their financial responsibility, insurance coverage, and payment options
  • Direct complex patient concerns to appropriate senior staff
  • Support patients with payment options and assist them with financial assistance resources as needed
  • Assist with preparing and submitting claims (UB-04 and/or professional) under supervision
  • Review accounts for completeness and accuracy prior to claim submission
  • Identify and report claim edits, holds, or errors to senior billers for resolution
  • Support timely processing of primary and secondary claims
  • Perform routine follow-up on outstanding claims as assigned
  • Review claim status using payer portals or internal systems
  • Assist in identifying unpaid or denied claims and perform follow workflows
  • Document account activity accurately and consistently
  • Contact payers for additional information via phone call or portal communication.
  • Research and resolve denials related to coordination of benefits, eligibility, patient questionnaires, and other common denials
  • Escalate complex reimbursement issues to Medical Biller Lead or Sr. Manager of Billing and Reimbursement
  • Research and resolve basic denial categories such as eligibility, authorization, and billing errors
  • Identify and Route complex denials to appropriate team members based on issue type
  • Research and resolve hospital billing denials using Epic and internal workflows
  • Maintain clear and compliant account documentation within Epic.
  • Utilize Epic work queues and tools to complete assigned tasks.
  • Maintain accurate account notes, claim statuses, and follow-up actions in Epic.
  • Report system issues or workflow concerns to supervisor
  • Follow established workflows for account handling
  • Follow all applicable billing regulations and payer requirements
  • Maintain patient confidentiality in accordance with HIPAA
  • Adhere to hospital policies and compliance standards
  • Participate in training and skill development activities
  • Provide support to team members as needed
  • Participate in department meetings and training sessions
  • Demonstrate a willingness to learn billing processes and systems
  • Cross-train in basic functions within Patient Financial Services as assigned

Benefits

  • medical
  • dental
  • vision
  • life insurance
  • retirement options (403(b) & 457)
  • discounts on medical services provided by Whitman Hospital and Medical Clinics
  • Differentials apply for evening, night, and weekend shifts
  • unique PTO plan enables employees to increase their accrual with each year of service
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