Billing and Collections Specialist

Are you ready to join an organization with a 50-year community service history in a mission-focused Federally-Qualified Health Center (FQHC)? We serve everyone, regardless of insurance status or ability to pay. Who wouldn’t want to say they work in an organization that serves more than 19,000 patients in Josephine County?

Siskiyou Community Health Center is seeking a full-time Billing Specialist in our administrative offices in Grants Pass. There will be no late nights, weekends, or major holidays. We support education and advancement, and you will work with a team dedicated to serving our patients.

You bring your experience, and we will pay you $18.35/hr. DOE. You will make even more if you are bilingual or have a degree. In addition:

• Health insurance with multiple options to suit your medical needs, and even our top-tier insurance is affordable for you and your family! We are a healthcare facility, after all!

• Supplemental insurance? You bet! We offer dental, vision, voluntary life insurance, and much more.

• Mercy Flights membership, short-term and long-term disability, generous PTO, and a 403(b) retirement match of 4% are all paid for by Siskiyou!

Do we have your attention? Check out the job description below. We look forward to reviewing your application!

POSITION SUMMARY:

The Collections/Billing Specialist is responsible for posting patient and insurance payments along with collection of payments, processing insurance denials, and working aged reports.

DUTIES and RESPONSIBILITIES:

• Prepares and processes insurance claims including Medicare, Medicaid, and private insurance.

• Reviews Explanation of Benefits (EOBs) for denials, identifies issues, contacts insurance companies, and resubmits as required to ensure maximum reimbursement.

• Receives and posts payments to patient accounts.

• Reviews and verifies insurance claims and prepares refunds as appropriate.

• Prepares patient statements.

• Monitors reimbursement of selected procedures or payers, identifies changes in payment and reimbursement patterns, claims lag, or other changes and recommends corrective action to the Billing Manager if necessary.

• Identifies and resolves patient billing complaints.

• Answers inquires and correspondence from patients, providers, and insurance companies.

• Attends required meetings and trainings and shares information with coworkers.

• Processes adjustments per protocol.

• Scans Billing Department documents.

• Maintains confidentiality, punctuality, excellent attendance, and ethical conduct.

• Other duties as assigned.

QUALIFICATIONS, EDUCATION, and EXPERIENCE:

• High school diploma or equivalent education required.

• Minimum six months related experience required.

REQUIRED KNOWLEDGE, SKILLS, and ABILITIES:

• Computer competency, including work processing, data entry, and Excel.

• Knowledge of accounts receivable practices, medical and dental office billing procedures.

• Knowledge of coding, medical and dental terminology, ad clinic operating policies and procedures.

• Effective customer relations skills, demonstrating the ability to work with diverse groups in a stressful environment, and displaying an understanding of group dynamics.

• Strong organization skills and effective use of time.

PHYSICAL DEMANDS:

• Lifting, bending, reaching, pushing, carrying, and sitting.

• Vision and hearing corrected to within normal range.

• Physical mobility with the office.

HAZARDOUS CONDITIONS:

• Minimal exposure to airborne pathogens.

WORKING CONDITIONS:

• Position is 100% office-based.

• Occasional evening or weekend work required.

• Possible travel between locations.

MACHINES, EQUIPMENT, TOOLS, and SUPPLIES USED:

• Computer, printer, calculator, fax machine, copier, and multi-line phone system.