Billing/Follow-up Specialist - Commercial Billing jobs in United States
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PeaceHealth · 10 hours ago

Billing/Follow-up Specialist - Commercial Billing

PeaceHealth is seeking a Billing/Follow-up Specialist - Commercial Billing to manage all phases of billing and account follow-up. This role is responsible for ensuring thorough and consistent account resolution to promote financial health and timely reimbursement from third-party payors.

AssociationCommunitiesFitnessHealth CareHealth DiagnosticsHospitalHospitalityMedicalNon Profit

Responsibilities

Resolves insurance claim rejections/denials, and non-payment of claims by payors
Identifies trends in billing and follow-up, in order to expedite resolution of insurance accounts and identify delays in processing
Drafts appeals to insurance companies for reimbursement of monies owed
Maintains daily account, follow-up work lists within department while maintaining organization’s productivity standards
Ensures compliance and claims processed in accordance with payer contracts and policies, as well as to settle claims as appropriate
Identifies, researches and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up
Processes and maintain correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment
Handles submission of issues to coding for review to ensure organizational and revenue cycle processes are followed
Communicates appropriately with insurance companies, patients, co-workers and supervisors
Performs other duties as assigned

Qualification

Medical terminologyInsurance processesBilling guidelines regulationsCoding knowledgeEpic experienceMicrosoft Office10-key by touchGeneral office equipmentMulti-taskingVerbal communicationWritten communicationAttention to detailOrganizational skills

Required

High School Diploma Required: or equivalent
Minimum of 2 years Required: Experience in a billing or insurance account follow-up capacity
Required: Medical terminology experience
Required: Knowledge of insurance processes and billing guidelines regulations
Proficient use of computers including Microsoft Office applications (Word, Excel, PowerPoint, etc.) (Required)
Skilled in 10-key by touch and keyboarding (Required)
Ability to operate general office equipment (Required)
Excellent verbal and written communication skills (Required)
Excellent attention to detail and ability to multi-task (Required)
Ability to work with minimal supervision, independently, as well as in a collaborative team setting (Required)
Strong organizational skills with the ability to prioritize and meet deadlines (Required)
Knowledge of Commercial and/or Government Payors (Required)
Ability to identify, research, and resolve credit balances, missing payments and unposted cash and payer recoupments, as it pertains to billing account follow-up. (Required)
Ability to work remotely with minimal oversight, independently, as well as in a collaborative team setting. (Required)

Preferred

Associate Degree Preferred:
Preferred: Coding knowledge
Preferred: Epic experience
Preferred: Medical Billing Certificate
Preferred: Certified Revenue Cycle Representative
Preferred: HealthStream Badge

Benefits

Full medical/dental/vision coverage
403b retirement plan employer base and matching contributions
Paid time off
Employer-paid life and disability insurance with additional buyup coverage options
Tuition and continuing education reimbursement
Wellness benefits
Expanded EAP and mental health program

Company

PeaceHealth

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PeaceHealth is a not-for-profit Catholic health system serving both urban and rural communities.

Funding

Current Stage
Late Stage

Leadership Team

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Richard DeCarlo
Chief Operating Officer
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Company data provided by crunchbase