- Provide services as Primary Billing Specialist for Mental Health Counseling program (50%) and assist the Medical Billing Specialist in the Community Health (Medical) program (50%).
- Credential WB Mental Health Counseling providers with all available payers.
- Process new patient intake and verify patient benefits
- Send claims to insurance companies for payment.
- Enter patient billing charges and issue statements.
- Respond to billing questions within one business day, answering questions related to billing statements and outstanding balances.
- Manage claim rejections and denials, issuing appeals and corrected claims as needed
- Prepare monthly reports including Accounts Receivable, Payments/Charges/Write-offs
- Medical (Community Health/Covid-19 Testing)
- Credential White Bird Medical Clinic, WB Community Health, and Volunteer providers with all available payers.
- Billing of insurance claims to appropriate insurance providers in NextGen Enterprise PM.
- Account for the billing to the Medical Billing Specialist on a monthly basis.
- Assist medical office/Community Health staff in understanding insurance issues upon request.
- Work with and communicate efficiently with a diverse population of clients and situations while maintaining a professional and courteous attitude.
- Communicate ideas for innovations and report challenges to the Medical Program Coordinator
- Other duties as assigned
- Minimum one (1) year current experience insurance coding, billing, and accounts
receivable processes in a behavioral health setting.
- Current and thorough knowledge of billing, insurance processing, follow-up, and
managed care requirements-with a primary emphasis on the Oregon Health
- Experience with Electronic Health Records, Next Gen preferred.
- Ability to read explanation of benefits (EOBs)
- Experience logging and applying payments and the ability to conduct thorough A/R follow-up
- Demonstration of dependability, initiative, cooperation, and diplomacy
- Current and thorough knowledge of ICD-10, CPT and HCPCS codes preferred.
- Knowledge of HIPAA regulations and ability to maintain patient confidentiality.
- Ability to effectively interact with co-workers in a team atmosphere and treat everyone with respect and dignity.
- Ability to effectively interact with clients of diverse ethnic backgrounds, religious views, cultural backgrounds, lifestyles and sexual orientations.
- Successful completion of New Volunteer training. (NVT)
- Excellent verbal and written communication skills
- Maintain First Aid/CPR certification.
This position reports to the Program Coordinators of the Medical and Counseling programs.
Pay rate: $18/hour + medical, dental, vision benefits.
Job Type: Full Time (up to 40 hours per-week)
Ability to work remotely with schedule flexibility is available
Must be able to pass a state background check