Special Programs Billing Coordinator

NORTHWEST SURGICAL•Vancouver, WA

17h

About The Position

Rebound is hiring for a Special Programs Billing Coordinator. This role is responsible for the complete billing, reconciliation, and reporting workflow for specialty and direct‑to‑employer (DTE) programs, including HealthMe, MDsave, Transcarent, OSIC, Lantern, and USOPC. You will support alternative payment models such as bundled pricing, upfront employer‑funded services, navigation‑partner programs, and cash‑pay pathways. You will also serve as the primary liaison between the organization and each program partner, ensuring operational accuracy and optimizing financial performance across all DTE and specialty billing models.

Requirements

High school graduate or equivalent required.
2-4 years in medical billing in a healthcare related field, physician’s office, hospital or clinic with experience in employer-funded, bundled-care, or cash-pay models.
Experience in the field of collections, customer service, and insurance billing and reimbursement preferred. Working knowledge of CPT/ICD10 coding, HCPCS, modifiers and payer billing guidelines.
Additional appropriate education may be substituted for applicable experience or an equivalent combination of education, training and/or experience.
Knowledge of insurance billing procedures, collection laws, and medical terminology preferred.
Excellent communication and public relations skills, both verbal and written.
Ability to work both independently and interdependently with staff and team members with limited supervision.
Excellent problem solving and critical thinking skills including excellent analytical skills.
Proficient use of computers, including MS Office applications, must be excel proficient with data heavy reporting.
Must demonstrate an understanding of the principles of service excellence and be able to maintain a professional demeanor and customer service orientation under busy and difficult situations.

Responsibilities

Support an environment that reinforces Rebound’s mission and Core Values of Superior Service, Teamwork, Integrity, Innovation, Quality and Recognition.
Prepare, generate, and submit claims or employer‑invoicing packets for all specialty and direct‑to‑employer programs, following specific pricing structures and contract terms.
Validate patient eligibility, employer coverage rules, negotiated program bundles, and cash‑pay requirements.
Apply correct CPT/HCPCS codes, modifiers, revenue codes, and pricing structures per partner contract guidelines.
Monitor clearinghouse and payer/employer responses; correct issues promptly and resubmit as required.
Track expected reimbursement based on contracted rates, bundled fee schedules, or employer‑funded authorizations.
Conduct follow‑up on underpayments, denials, variances, and missing employer remittance documentation.
Post payments, reconcile variances, credits, refunds, adjustments, and employer billing discrepancies, and verify all payments align with contracted case rates, negotiated bundles, or guaranteed employer pricing.
Maintain program‑specific reconciliation logs balancing billed vs. paid amounts for all DTE and specialty programs.
Produce reports, track key performance metrics, and maintain dashboards and reporting tools. Support or conduct required audit requests.
Serve as the primary point of contact for all of the special billing programs, participate in contract updates, pricing updates, workflow revisions and contract updates. Coordinate with Rebound key stakeholders to ensure compliance.
Stay up to date on payer-specific requirements for all billing and employer invoicing and ensure they are following appropriate contract rules. Perform quality checks as needed.
Standardize processes, propose solutions to improve accuracy and financial performance, and assist in training internal departments as needed.
Maintain a high degree of confidentiality and abide by all HIPAA rules and regulations.
Perform other duties as assigned.

Benefits

Medical/Vision/Rx
Dental
401(K) Retirement Plan, including discretionary profit sharing and Cash Balance Plan
Company paid Life Insurance/AD&D
Voluntary Life insurance/AD&D
Company paid short and long-term disability
Flexible Spending and Health Saving Accounts
Employee Assistance Program
Free Parking
Paid Time Off accrued at up to 24 days in your first year based on FTE