Billing Specialist – Business Office | Full Time

Position Summary

The Billing Specialist will perform duties as assigned by the Business Office Manager. The Billing Specialist is responsible for the day to day follow up of unpaid insurance claims by consulting with insurance companies to keep accounts current. Stays up-to-date submitting secondary insurance claims either electronically or by paper. The Billing Specialist is familiar with most insurance companies including Medicare and Medicaid and advantage plans. The Billing Specialist is naturally helpful and willing to work a problem to its successful conclusion. Has the ability to communicate effectively with insurance companies, patients and co-workers. Works with members of the healthcare team to assure collaborative approach is maintained in care of patient accounts and information. Multi-tasking, self-motivation, organization skills, and being able to work in a fast paced environment are required. Actively participates in the department’s performance improvement and continuous quality improvement (CQI) activities.

Essential Functions and Responsibilities

• Knowledge of insurance guidelines, including VA, HMO/PPO, Advantage, State Medicaid and out of State Medicaid.
• QA Report for non-Medicare denied claims.
• Use web tools to verify insurance eligibility.
• Stays current in A/R aging to work claims.
• Problem solving skills to research and resolve discrepancies, denials, appeals, collections.
• QA Report for Admit errors.
• Sends secondary insurance claims either electronically or by paper.
• Mails documents requested by insurance companies.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Types required documents and correspondence.
• Organizes and maintains client records and company files.
• Complies with all applicable company policies and procedures.
• Communicates appropriately and clearly to the Business Office Manager, CFO, administrative staff and co-workers.
• Demonstrates the ability to be flexible and organized in stressful situations.
• Excellent customer service skills and phone manner.
• Manages and operates equipment safely and correctly.
• Supports and maintains a culture of safety, quality and professionalism.
• Any additional duties pertaining to the daily operations of the revenue cycle.

Knowledge, Skills and Abilities

• Maintains self-motivation and sustains a high level of momentum.
• Able to successfully prioritize when faced with requests, demands and deadlines.
• Knowledge of customer service concepts.
• Must be extremely detail oriented and able to perform accurate and thorough recordkeeping.
• Proven ability to communicate effectively, both in written and oral form.
• Ability to communicate effectively in English, both verbally and in writing.
• Proven ability to work as part of a team, in a fast-paced production-oriented environment.
• Ability to prioritize, highly organized.
• Ensures patient confidentiality.
• High work ethic, Low Absenteeism, attends staff meetings and other mandatory trainings as required.

Education, Experience, Certification & Licensures

Required:

• High School Diploma or GED equivalent
• Basic Computer Knowledge

Preferred:

• Clerical and Office experience in hospital or healthcare environment
• Working knowledge of medical terminology
• Basic Life Support (BLS) certified by American Heart Association (AHA)

For More Information, Contact

Holly Thompson, Human Resources

hthompson@bluemountainhospital.org | 541-575-3820

Why Blue Mountain Hospital District & Grant County?

The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon. Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Care and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community. Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains. The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails to high and low lakes and ponds. Our area is known to be a “go to” place not just for recreation, but also for big game hunting and fishing! Join our family-like team and settle into a lifestyle that is hard to beat!

For more information on our area, visit our Grant County Chamber of Commerce and Discover John Day pages at: https://www.gcoregonlive.com/ and https://www.discoverjohnday.com/