Professional Billing & Insurance Follow-up Specialist at Legacy Health – PORTLAND, Oregon

Legacy Health

Professional Billing & Insurance Follow-up Specialist

Equal Opportunity Employer/Vet/Disabled
US-OR-PORTLAND

Job ID: 26-46830
Type: Regular Full-Time
Northwest 31st Bldg

Overview

Are you ready to bring your clerical expertise to a healthcare community that values your contributions and recognizes your role as essential to our mission of making life better for others? In this position, you’ll use your advanced knowledge of multi-payer systems, specialty billing procedures, and contracts to research incomplete bills, interpret codes, and resolve patient inquiries. Your professionalism, patience, and clear communication will embody the compassionate culture we strive to uphold across the Legacy community.

If this sounds like you, we invite you to apply for our Biller Follow-Up Specialist role.

Responsibilities

• Performs medical billing functions for complex (specialty) accounts requiring advanced knowledge of multi-payor system and all specialty billing procedures and contracts.
• Reviews transactions to verify accuracy and completeness of charges.
• Research denied or incomplete bills.
• Verifies ICD-10 coding.
• May specialize in a general payor type or bill type such as Capitation, Commercial, Government, Behavioral Health or Specialty.

Qualifications

Education:

• High school diploma or equivalent.

Experience:

• One year of healthcare clerical experience or applicable billing, credit/collections experience.
• Healthcare billing or credit/collections preferred.
• Education may be substituted for experience requirement.

Skills:

• Demonstrated familiarity with specialty billing procedures and contracts.
• Attention to detail: Accuracy in data entry and billing processes.
• Demonstrated knowledge of multi-payor systems.
• Demonstrated knowledge of billing/collection rules and regulations.
• Knowledge of online systems for eligibility and status review of claims preferred.
• Technical Proficiency: Familiarity with billing software and electronic medical records including Microsoft suite products and 10 key proficiencies.
• Knowledge of medical terminology preferred.
• Problem Solving: Ability to resolve billing issues and handle denied claims. Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines.
• Demonstrated effective interpersonal skills which promote cooperation and teamwork.
• Organization Skills: Efficiently manage multiple tasks and deadlines.
• Communication skills: excellent verbal and written communication skills.
• Ability to adapt to change.