Billing Specialist

Job Details

Level

Experienced

Job Location

Portland , OR

Position Type

Full Time

Education Level

2 Year Degree

Salary Range

$23.50 - $24.50 Hourly

Travel Percentage

Negligible

Job Shift

Day

Description

SUMMARY : The Billing Specialist is responsible for all aspects of insurance and patient billing.

ESSENTIAL RESPONSIBILITIES AND TASKS :

• Facilitate timely and accurate pre-bill audit of billing system transactions.
• Prepare and submit error free claims to various insurance companies.
• Contact insurance companies to get authorization for patient services as necessary.
• Identify and resolve patient billing complaints.
• Count cash from PRC, prepare and balance DBR, enter into check log.
• Prepare, review and send patient statements.
• Prepare adjustments and rebills.
• Post and file EOBs as received.
• Respond to patient and colleague questions promptly and efficiently.
• Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.
• Maintain patient and invoice files by entering and adjusting data.
• Enter data accurately and efficiently into posting, charge input and authorizations.
• Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.
• Verify that CPT, HCPCS and ICD-9 codes submitted to third-party payers are an accurate representation of the medical services rendered. Research any discrepancies noted prior to charge entry to ensure accuracy.
• Notifying the Billing Manager of any regulatory and compliance issues relating to inaccuracies or aberrant billing patterns discovered during the billing process.
• Achieve outcomes using methods that align with CODA's mission and values :
• Communicate accurately and positively about recovery and the use of evidence-based treatments.
• Use data and science to identify barriers, overcome obstacles, and inform decisions.
• Be financially responsible; avoid waste, document accurately, seek new opportunities to serve.
• Demonstrate compassion and respect for others.

SECONDARY RESPONSIBILITIES AND TASKS :

Qualifications

REQUIRED EDUCATION, EXPERIENCE AND COMPETENCIES :

REQUIRED CERTIFICATIONS AND LICENSES :

PHYSICAL DEMANDS :

OTHER REQUIREMENTS :