MEDICAL BILLING SPECIALIST

The didgwalic Wellness Center is seeking a positive, detail-oriented Medical Billing Specialist to join our integrated care clinic that combines primary care, behavioral health, and opiate treatment all in one place. This is an excellent opportunity to be employed in an environment that believes in the holistic approach to healthcare and demonstrates a commitment to employee wellbeing by providing a supportive environment that encourages personal and professional growth. 

At didgwalic Wellness Center, we prioritize the well-being of our patients and staff alike. We offer our employees an excellent total compensation package that includes some of the following. If this sounds like an opportunity you’re interested in exploring further, please apply today!

Some of Our Benefits Include:

• Competitive base compensation and benefit package.
• Comprehensive health, dental, and vision insurance
• Employer-paid life insurance, AD&D, short- and long-term disability
• 401(k) Retirement Plan with up to a 4% employer matching
• 4 weeks of Paid Time Off (PTO)
• 13 paid holidays observed
• Great working hours for work-life balance

Duties/Responsibilities:

• Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
• Responsible for accurate medical coding, charge entry, claims submissions, payment posting.
• Follows up on unpaid claims within standard billing cycle timeframe.
• Checks each insurance payment for accuracy and compliance with contract discount.
• Calls insurance companies regarding any discrepancy in payments as necessary.
• Identifies and bills secondary or tertiary insurances.
• Investigates and appeals denied claims.
• Answers all patient or insurance telephone inquiries pertaining to assigned accounts.
• Analyzes billing and claims for accuracy and completeness; submits claims to proper insurance entities and follows up on any issues.
• Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
• Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements.
• Keeps up to date with carrier rule changes and distributes the information within the practice.
• Understands and remains updated with current coding and billing regulations and compliance requirements.
• Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
• Other duties as assigned by Revenue Cycle Manager.

Required Skills/Abilities: 

• Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare, strong knowledge of Washington and Federal payer regulations.

• Possess excellent negotiation skills, including the tact required for securing payment or discussing patient's finances, and enjoy working in a health care setting.
• Excellent customer service skills for interacting with patients regarding medical claims and payments, and for communicating with insurance payers to resolve issues. 
• Ability to work in a cross-culture environment, understands the social and cultural context of the patients at the didgwalic Wellness Center. Understands the role of trauma, historical, community, family, and personal experience in wellness and recovery.  
• Ability to multi-task and work effectively with fellow employees, clients, and patients.
• Understands and adheres to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2).
• Must possess strong computer and software skills (MS Office products and customer database systems).

Education and Experience:

• High School Diploma or equivalent required. 
• Medical billing and coding certification preferred. 
• Two (2) years of experience as a certified coder preferred. 
• Certified Navigator/Tribal Assister preferred. 

Physical Requirements: 

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.