Medical Billing Technician

Tillamook County•Tillamook, OR

2d•Onsite

About The Position

Incumbents in this classification combine a practical accounting knowledge with procedural expertise to manage insurance claims billing, address patient and provider inquiries, and resolve billing issues for specific Health Department programs. Responsibilities include collaborating with external billing partners, utilizes the EHR system to release, update coding and diagnosis codes or adds notes, supporting audits, and staying informed on billing changes and new programs.

Requirements

High School diploma or equivalent.
Coursework in medical office occupations or business administration preferred.
Equivalent experience may be substituted for educational requirement.
Two (2) years of experience in computer applications including CPT, ICD-9, ICD-10, and HCPCS coding experience.
Detailed knowledge of principles and practices of billing and accounts receivable record keeping
Knowledge of financial and healthcare terminology
Knowledge of healthcare computerized information systems and spreadsheet software
Knowledge of office practices, procedures and equipment
Thorough understanding of the Billing Cycle.
Thorough understanding of insurance types, including commercial, Medicaid, Medicare, Advantage, marketplace, military, and distinctions between in-network and out-of-network plans.
Skill in using computers and a variety of accounting software.
Medical insurance claim analyst skills and experience
Medical back-office experience with strong computer skills in MS Office, Word, Excel
Good interpersonal and costumer relations skills.
EPIC software and Electronic Medical Records experience.
Skill in navigating insurance websites effectively.
Strong phone communication skills.
Ability to use nonstandard procedures and techniques to resolve unusual problems or address management requirements.
Ability to use initiative and judgment in completing tasks and responsibilities.
Ability to courteously meet and deal effectively with other employees, agency representatives, vendors, contractors, the public, and others.
Ability to solve complex problems, demonstrating strong puzzle-solving skills.
Ability to learn, adapt to changes, and conduct effective research.
Must pass a pre-employment criminal history background investigation.

Nice To Haves

Certified Medical Coder preferred but not required.

Responsibilities

Oversees preparation and submission of the Health Department’s FQHC clinical services billing and reimbursement requests to private individuals, private insurers and governmental entities including Medicare, Medicaid, etc.
Submit claims for specific Health Department programs, including Targeted Case Management (TCM), Screenwise, VA, MVA, WC, and Dental services.
Ensure claims are accurate and meet program requirements.
Resolve claims with errors or missing information by managing Work Queues in the EHR system (Epic)
Collaborate with external vendors and partners, including an outside billing company (OBS) and LabCorp, to address coding problems and billing issues.
Provide customer and staff support by answering calls and emails related to billing questions, quotes for services, or claim inquiries.
Update the Health Department’s Fee Schedule in Epic to reflect current charges.
Enter and manage JIRA tickets to request IT fixes and improvements for the EHR system.
Send daily EFT and SPHERE payment information from the clearinghouse to the Treasury Department.
Assist with audits, special projects, and report preparation for managers.
Stay informed about billing changes and new programs by conducting research and self-directed training.
Performs additional duties as assigned.