Medical Biller I

Whitman Hospital and Medical Clinics • Colfax, WA

1d • 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees