Career Opportunities: Billing Specialist (24563)

Requisition ID 24563 - Posted - Housecall Providers - Full-Time - Permanent - Portland - Multi Location (2)
Housecall Providers www.housecallproviders.org Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in-home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs, and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.
Our MissionImproving lives by bringing health care home.
Our VisionTo sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.
Our ValuesCompassion and respect, authentic relationships, collaboration, courage, social justice.
Diversity StatementWe embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.
Job TitleDepartment: HCP-Primary Care
Exemption Status: Non-Exempt
Requisition #: 24563
Direct Reports: N/A
Estimated hiring range: $46,540 - $56,880/year, 5% bonus target, full benefits.
Posting Notes: This is a hybrid position with 1-2 days per month in the office.
Job SummaryThe Billing Specialist ensures that claims are billed accurately on a timely basis. This position ensures that appropriate follow-up and collection actions are taken to maintain a low percentage of accounts receivable (under 10%). This includes setting up patient financial arrangements as needed. The Billing Specialist also answers patient inquiries and works to resolve billing problems or escalates complex issues as needed.
ResponsibilitiesVerify Contracted Insurance for Primary Care Patients, prior to admission, including verification we are listed as PCP for all contracts that require it.Follow up with patients whose insurance has changed to a non-contracted Insurance company, and with patients whose insurance has terminated.Enters diagnosis and procedure codes efficiently and accurately.Reviews and corrects denied claims and re-bill for payment and/or call insurance company as necessary to resolve the claim.Resolves billing questions when patient and/or family members call in – updates information accordingly as needed.Submits charges electronically to insurance companies and uploads electronic remittances routinely as directed by the Operations and Billing Manager.Responds to insurance payer requests for information in a prompt and professional manner.Ensures final statements are going to a POA, guardian or guarantor for deceased patients, so that final billing can be paid; contacts probate if needed to see if patients have estates.Verifies addresses on all returned mail.Performs audits on patient accounts to ensure accuracy and timely payment by following up with insurance companies or patients as necessary.Verifies from Revenue Cycle and Finance Manager if patient accounts should be written off.Performs reconciliation of refund accounts, attaches documentation, and forwards for processing.Communicates effectively with patients, family members, and insurance companies regarding sensitive financial matters and recapture unpaid balances.Identifies problems on accounts and follows through to conclusion or seeks assistance.Maintains confidentiality regarding all patient and clinic information.Attends billing PIP meetings, webinars, and other staff meetings when scheduled.Utilizes current billing information and resources provided.Posts payments to patient accounts according to protocol in an accurate and efficient manner.Reconciles and balances each payment batch.Works with AR staff to ensure all payments are reconciled and entered into the billing/payment module.Provides cross coverage and back-up support by assisting with the following duties:Entering hospice information for new hospice patients into primary care EHR and patient management if updating is required; contacting outside hospice agencies to verify the start date, diagnosis, and confirm the attending provider.Billing secondary claims on HCFA 1500 forms after payments posted for primary payers, by attaching the primary EOB's and mail; verifying if Medicaid is secondary/tertiary, then take appropriate billing action as directed by the Operations and Billing Manager.Taking and processing payments over the phone for Visa or MC.Essential Department FunctionsProvide back up for reception which includes answering and routing phone calls, greeting and directing visitors.Maintain patient/family and staff confidentiality in compliance with HIPAA laws.Maintain agreed upon work schedule and meet deadlines for completion of work.Serve as an ambassador for CareOregon and Housecall Providers at all times.Demonstrates cooperation and teamwork and maintains collaborative relationships with all levels of staff and community partners.Participate in orientation of new employees, volunteers or students seeking experience, as requested.Attend staff and mandatory in-services meetings, as required.Participate in ongoing education and assume responsibility for updating professional skills.Organizational ResponsibilitiesPerform work in alignment with the organization's mission, vision and values.Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open-mindedness, cultural awareness, compassion and respect for all individuals.Strive to meet annual business goals in support of the organization's strategic goals.Adhere to the organization's policies, procedures and other relevant compliance needs.Perform other duties as needed.Experience and/or EducationRequired Minimum 2 years' experience working in a medical office or other related healthcare agency with direct experience or exposure to billing processes.Previous experience working with an electronic health record system.Preferred Certificate in medical billing/coding.Knowledge, Skills and Abilities RequiredKnowledge Familiarity with current medical billing, terminology, and coding requirements.Skills and Abilities Accurate and efficient.Ability to stay focused and demonstrate strong organizational skills.Ability to interact professionally and pleasantly with staff, patients, families, caregivers and the general public.Effective computer skills, including working knowledge of Microsoft Office system.Growing understanding of electronic medical record systems and the ability to integrate updates to those workflows on a regular basis.Strong customer service skills, including the ability to interact professionally, patiently, and courteously with customers over the phone and in person.Ability to work both independently and collaboratively.Ability to work under pressure to meet deadlines.Ability to take initiative and learn new techniques and processes.Ability to interact with various departments throughout the organization.Ability to work flexible hours, if needed.Ability to use good judgment, personal initiative and discretion to perform job responsibilities.Team oriented, collaborative, and open to constructive feedback.Ability to adhere to organizational standards, policies and procedures.Ability to work effectively with diverse individuals and groups.Ability to learn, focus, understand, and evaluate information and determine appropriate actions.Ability to accept direction and feedback, as well as tolerate and manage stress.Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day.Ability to hear and speak clearly for at least 3-6 hours/day.Working ConditionsHazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment.
Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.
Work Location: Work from home.
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Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment. Veterans are strongly encouraged to apply. We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status. Visa sponsorship is not available at this time.

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