Billing Specialist I (Billing)

Job Overview

Location/Schedule: This position is based at the Lloyd Corporate Plaza located in NE Portland OR. The schedule for this position isMonday through Friday 8:30 a.m. to 5:00 p.m.

Position: Billing Specialist I

Program: Billing

Cascadias Mission and Vision:

Mission: Cascadia Health delivers whole health care integrated mental health and addiction services primary care and housing to promote hope and support the well-being of the communities we serve.

Vision: We envision a community where everyone benefits from whole health care experiences well-being and has a self-directed connected life.

Position Description: The Billing Specialist position is responsible for accurate billing reconciling assigned accounts and resolving claims in a timely manner. This position must understand Cascadias broader financial and billing practices and how they pertain to the positions specific responsibilities. This position must understand appreciate and respect the unique backgrounds within our Cascadia community. As such it is expected that this position promotes integrated care our vision of trauma-informed and person-first approaches and helps create a work environment of safety and acceptance.

Essential Responsibilities

This position description is not intended to be an all-inclusive list of responsibilities skills or working conditions associated with the position. Management reserves the right to modify add or remove duties as necessary.

• Monitor and manage assigned accounts and work queues to identify overdue balances and initiate follow-up.
• Ensure accuracy of invoices statements and patient balances within the EHR and billing systems.
• Investigate and resolve billing discrepancies errors complaints and denials.
• Apply payments adjustments refunds and write-offs to accounts ensuring proper documentation.
• Verify patient insurance eligibility through Electronic Health Record (EHR) and Medicaid Management Information System (MMIS) and update demographic and coverage information in the EHR.
• Process applications for financial assistance including sliding fee scale and self-pay assessments.
• Review correct and update data in billing systems to ensure account integrity and prevent duplication.
• Audit payer and client accounts as directed adjudicating claim denials recoupments and data entry errors.
• Process payer/insurance denials on a timely basis with appropriate documentation and follow-up.
• Maintain accurate and detailed records of all billing and collection activities ensuring compliance with federal and organizational guidelines.
• Prepare and distribute correspondence reports and other documentation to support billing operations.
• Contribute to revenue cycle optimization by identifying and correcting billing enrollment and account issues.
• Work service reports and correct billing and enrollment issues to mitigate any revenue loss.
• Assess patients for Self-Pay placement and assist with Sliding Scale Discount applications as needed.
• Communicate with appropriate parties via phone statements and electronic health record portals to collect payments and negotiate payment arrangements as needed
• Manage data entry platforms accurately; enter alphabetic numeric or symbolic data from source documents into computer using data entry device and following format displayed on screen.
• Audit/adjudicate client accounts while processing claim denials data entry errors refunds as well as payer recoupments.
• Other duties as assigned

Regulatory & Compliance:

• Adhere to all local state and federal billing laws and regulations.
• Maintain confidential patient information in compliance with HIPAA regulations.
• Maintain accurate and up-to-date documentation that ensures compliance with all agency policies and procedures and local state and federal regulations.
• Understand safety regulations and evacuation procedures; participate in regular safety drills in compliance with program policies and procedures.
• Complete assigned employee training in compliance with program and company requirements.
• Participate in all scheduled staff meetings supervision sessions and other departmental and company meetings.

Qualifications

Education:

• Required: High school diploma or equivalent

Experience:

• Required: 1 years of experience in medical billing patient accounts or health care customer service.

Specialized Knowledge Skills & Abilities:

• Knowledge of EHR systems insurance eligibility portals and claims processing.
• Attention to detail and accuracy in data entry.
• Knowledge of medical billing processes insurance terminology and patient payment requirements
• Operate computer hardware and software at a level needed to effectively perform job functions
• Effective communication and active listening skills.
• Effective interpersonal and customer service skills.
• Ability to work proactively and effectively in a team and independently.

Other:

• Ability to travel to multiple locations throughout the Portland Metro area.
  

Working Conditions

Environmental: Work is performed in one or more of the following: administrative and clinical office acute care settings and community setting including client residences correctional facilities shelters hospitals public places and other social service sites. Meal periods and breaks are subject to interruption. Universal Precautions and remaining alert to the environment are expected to address the potential for violent behavior exposure to disease biohazards noise and contaminants.

Mental Demands: The work assigned is diverse and involves addressing new and unusual circumstances. The work regularly involves a degree of unpredictability and requires a flexible time management addition this position requires exercising sound judgment.

Cascadia is an Equal Opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you need assistance or an accommodation due to a disability you may contact us at 503.963.7654 or at .

Benefits

We offer generous benefits for our full-time and part-time employees (20 hours pro-rated) including:

• Generous Paid Time Off Package Full-time employees earn 6 weeks of PTO in their first year!
• Medical and Dental Coverage (begins 1stof the month following 30 days after hire date)
• VSP Vision Discount Plan
• 403(B) Retirement Savings (Pre and post-tax plans with up to 8% employer matching contribution!)
• Flexible Spending Account (FSA) (Medical dependent care and transportation options)
• Short-Term Disability Long-Term Disability and Life Insurance
• Paid Bereavement and Jury Duty Leave
• Length of Service Award
• Voluntary Life Insurance
• Supplemental Insurance
• Student loan forgiveness options

Wellness Benefits:

• Employee Assistance Program (EAP)
• Bicycle Reimbursement
• Discounted Fitness Memberships
• Trauma Support Team

Starting Rate Range in USD ($)

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