Medical Biller

2018 Top 25 Best Places To Work In Inland NW!

Job Location: Spokane Valley, WA

 

Due to continued growth, we are seeking to add medical billers to our talented Central Business Office (CBO) and Extended Business Office (EBO) teams at our Spokane Valley Washington office. As an employee-owned company, we are committed to providing extraordinary service delivered with the utmost integrity and professionalism.

Position Summary:

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, analysis, and the ability to provide guidance to fellow team members.

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 / HSA / Supplemental / Wellness Program

  • Paid time off, sick days and paid holidays

  • Merchant discounts

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 appropriate time

  • Identifies development opportunities to maximize the proficiency of HRG's proprietary database

  • Perform additional duties as assigned

  • 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/trendin

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

Requirements: 

  • Medical billing experience; experience with Medicare a big plus

  • Knowledge of health care 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

  • 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