Billing/Follow-up Specialist -Government (Remote) - OR, WA, AK

About the position

PeaceHealth is seeking a Billing/Follow-up Specialist - Government for a full-time position responsible for managing all phases of billing and account follow-up. The role focuses on ensuring thorough and consistent account resolution to promote financial health, including claims submission, follow-up with insurance payors, and resolving reimbursement issues for a multi-facility, multi-specialty organization.

Responsibilities
• Resolve insurance claim rejections/denials and non-payment of claims by payors.
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• Identify trends in billing and follow-up to expedite resolution of insurance accounts.
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• Draft appeals to insurance companies for reimbursement of owed monies.
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• Maintain daily account follow-up work lists while meeting productivity standards.
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• Ensure compliance with payer contracts and policies for claims processing.
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• Identify, research, and resolve credit balances, missing payments, payer recoupments, and unposted cash.
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• Process and maintain correspondence from patients and insurance companies regarding billing and payment.
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• Submit issues to coding for review to ensure compliance with organizational processes.
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• Communicate effectively with insurance companies, patients, co-workers, and supervisors.
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• Perform other duties as assigned.

Requirements
• High School Diploma or equivalent required; Associate Degree preferred.
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• Minimum of 2 years of experience in a billing or insurance account follow-up capacity required.
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• Formal training or college coursework from a medical coding accredited school may be considered in lieu of experience.
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• Experience with medical terminology required.
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• Knowledge of insurance processes and billing guidelines regulations required.
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• Proficient use of computers including Microsoft Office applications required.
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• Skilled in 10-key by touch and keyboarding required.
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• Excellent verbal and written communication skills required.
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• Strong organizational skills with the ability to prioritize and meet deadlines required.
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• Ability to work independently and collaboratively in a team setting required.

Nice-to-haves
• Coding knowledge preferred.
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• Epic experience preferred.
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• Medical Billing Certificate preferred.
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• Certified Revenue Cycle Representative preferred.
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• HealthStream Badge preferred.

Benefits
• 403(b) retirement plan
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• 403(b) matching contributions
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• Continuing education credits
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• Dental insurance
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• Disability insurance
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• Employee assistance program
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• Health insurance

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