Complete Business Office (CBO) Analyst

2017 Top 25 Best Places To Work In Inland NW!

Job Location: Spokane Valley, WA

Position Summary

Healthcare Resource Group (HRG) in Spokane Valley, Washington is currently recruiting for Medical Billers & Insurance Follow Up Representatives to join our Complete Business Office (CBO) Team. If you love medical billing, cash posting and insurance follow-up and want to join a great team with opportunities for growth, then we are what you are looking for! Perform daily hospital business office functions.  Responsibilities include accurate and timely submission of daily assigned claims, rejected claims, and application of payments.  The main job function of the role is to actively call payer organizations or utilize web-based connectivity to pursue reimbursement of medical services rendered and achieve accounts receivable resolution.  This position holds additional duties with respect to research and analysis.

What HRG Offers

  • Competitive compensation and referral bonuses
  • Career growth opportunities
  • Employee ownership
  • HRG paid retirement plan through Employee Stock Ownership Plan
  • Medical / Dental / Vision / Life / Supplemental / Wellness Program
  • Paid time off, sick days and paid holidays
  • Merchant discounts
  • Great company culture

Job Description

Core Responsibilities:

  • Contribute to positive business results by maintaining a workplace characterized by high performance, mutual support, respect, and teamwork.
  • Regularly search for and identify opportunities for quality and process improvement resulting in improved efficiency, increased productivity and high customer satisfaction.
  • Continuously ensure unresolved issues are communicated early and escalated to management at the appropriate time.
  • Identify development opportunities to maximize the proficiency of HRG's proprietary database.
  • Perform additional duties as assigned.

Position Responsibilities:  

  • Develop and maintain an understanding of regulatory requirements for government and third-party payers, including billing/payment guidelines as well as HIPAA requirements.
  • Knowledge of all applicable HRG/Client billing, cash posting, & follow-up procedures.

Billing Functions

  • Complete billing of assigned accounts accurately and within a timely manner
  • Ability to work claim edits and identify errors that may require an edit build
  • Working knowledge of assigned EDI system
  • Work rejected claims in client EDI system and/or DDE
  • Perform secondary claim billing and financial class verification from daily EOB’s
  • Ability to work with HIS systems & EDI systems to correct claim mapping
  • Track claim edits and rejections and communicate findings with supervisor
  • Ability to provide guidance to fellow team members
  • Categorize daily claim validation and edits for reporting/trending

Cash Application Functions

  • Complete cash applications for assigned client(s) accurately and within contractual timelines
  • Identify and attach all denial RA’s to patient accounts in proprietary database
  • Responsible to reconcile monthly transactions for assigned client(s) prior to month end close
  • Review and process cash application errors logged in proprietary database
  • Log deposits received in deposit workbook within Helix software system
  • Develop and maintain cash applications knowledge for multiple health information systems

Follow-Up Functions

  • Contact insurance carriers through website, email or telephone to resolve outstanding accounts
  • Analyze and resolve moderately complex insurance denials
  • Appeal and/or resubmit unresolved accounts to insurance carriers
  • Research and respond to insurance correspondence
  • Research and obtain required documents to resolve misdirected payments
  • Status accounts correctly based on client & HRG policy to ensure accurate account action
  • Analyze work list to spot trends; assess opportunities to improve account quantity


  • Medical billing experience; experience with Medi-Cal or Indian Health billing is a big plus
  • Knowledge of healthcare terminology, laws and regulations
  • Knowledge in Excel with Experience in Microsoft Office applications
  • Proficient with data entry and multi-tasking in a Window’s environment
  • Effective verbal and written communication skills
  • Strong teamwork skills
  • Critical thinking and problem solving abilities
  • Responsible, reliable and accountable
  • Proficient with 10-key

Other Requirements

  • Ability to make independent decisions
  • Ability to travel by automobile or commercial transportation
  • Ability to read documents and computer screens, potentially for extended periods of time
  • Dialing and responding to telephone or in-person inquiries and daily assignments
  • Sitting at a desk or computer terminal and writing, typing, keying and coding information
  • Proficient with data entry and multi-tasking in a Window’s environment

Apply today to join a dynamic culture with opportunities for personal and professional growth!