Medical Billing Specialist |Full-Time|

Heritage Health - Idaho • Coeur D'Alene, ID

8d • $21 - $30 • Onsite

About The Position

Heritage Health is seeking a full-time Billing Specialist in Coeur d'Alene, Idaho. The role supports accurate and efficient billing operations by managing patient accounts, processing claims, resolving denials, and supporting eligibility services. The specialist works with internal teams and external payers to support revenue cycle operations and Heritage Health’s delivery of accessible, high-quality care. The position is part of the Heritage Health Patient Centered Medical Home (PCMH) Care Team. Regular and predictable attendance is an essential function. The employee also performs miscellaneous job-related duties as assigned.

Work is normally performed in an administrative building in a typical interior office environment, which may be demanding and chaotic. The role may involve exposure to patients with contagious diseases, physical injuries, and varied emotional states. Physical and mental requirements include prolonged sitting and computer use, occasional lifting of up to 15 pounds, navigating various departments, completing tasks in noisy or stressful conditions, and adhering to process protocols.

Heritage Health maintains a safety culture. Employees must complete required training, participate in emergency response tasks and safety committees or teams when requested, follow safety instructions, report or correct hazards, and provide feedback to supervisors and management on safety issues.

Requirements

• High school graduate or equivalent.
• Two years of medical billing experience, or an equivalent combination of experience, training, and/or education.
• Working knowledge of CPT and ICD-10 codes and medical terminology.
• Up-to-date knowledge of health information technologies and applications.
• Ability to establish and maintain effective working relationships with employees, patients, organizations, and the public.
• Ability to read and interpret insurance explanations of benefits.
• Effective written, telephone, and in-person communication skills.
• Proficiency in Microsoft Office, including Outlook, Word, and Excel.
• Service orientation and attention to detail in a fast-paced environment.
• Ability to sit for prolonged periods and work on a computer.
• Ability to lift up to 15 pounds at times.
• Ability to access and navigate various departments at a location.
• Ability to complete tasks in noisy or stressful environments and adhere to process protocols.

Responsibilities

• Manage patient accounts, process claims, resolve denials, and support eligibility services.
• Apply working knowledge of accounts receivable.
• Handle coding-related inquiries and denials by researching issues, appealing when appropriate, and recommending solutions.
• Manage held or rejected claims in a timely manner.
• Follow up promptly on insurance claim denials, exceptions, and exclusions.
• Process charge acceptance and charges promptly, appending necessary modifiers.
• Verify claims for completeness and accuracy before submission.
• Post insurance company and patient payments accurately.
• Review credit balances and take timely action.
• Use monthly accounts receivable aging reports to follow up on unpaid claims aged over 30 days.
• Respond to inquiries from insurance companies, patients, and providers using payer websites.
• Communicate promptly with the Billing Supervisor about payer or front-desk trends and other issues that may disrupt cash flow.
• Maintain regular and predictable attendance.
• Perform other job-related duties as assigned.
• Complete required safety training and participate in emergency response activities and safety committees or teams when requested.
• Help maintain workplace safety by following instructions, reporting or correcting hazards, and providing feedback on safety issues.

Benefits

• 100% employer-paid employee medical, dental, and vision coverage for full-time employees.
• Employer-paid life insurance equal to one times annual salary, with optional additional coverage available at extra cost.
• Short-term disability insurance based on age and salary.
• 100% employer-paid long-term disability insurance.
• 403(b) retirement plan with an employer match of up to 4% of employee contributions.
• 120 hours of PTO in the first year.
• 56 hours of Extended Illness Bank in the first year.
• Eight paid holidays for full-time employees.
• Free telehealth visits for healthcare, counseling, and health and wellness coaching for employees and their immediate household members.
• Competitive pay.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED