What are the responsibilities and job description for the Billing Specialist position at Peninsula Community Health Services (Washington)?
Job Code:2025-90-17-001 Location:Clare, Bremerton Department:Finance Full Time/Part TimeFull Time or Part Time
Job Responsibilities
The Billing Specialist is responsible for medical, dental, and behavioral health billing for various payers, including insurance, Medicaid, Medicare, and commercial carriers.
Essential Duties And Responsibilities
This position has no direct reports.
Qualifications
PCHS offers a wide variety of benefits through a customizable cafeteria plan. In addition to receiving employer-paid basic life and long-term disability insurance, eligible employees can choose between several employer-subsidized health insurance plans and YMCA and Costco memberships. PCHS also offers a 403(b)-retirement plan, pet insurance, and legal and long-term care plans, among others.
For pay equity purposes, PCHS calculates salaries based on a wage scale that incorporates a standardized approach to compensation. Accordingly, PCHS does not engage in salary negotiations for non-provider staff.
Pay Range: $16.66 -$19.58 /hour DOE
Skills
Must have excellent communication skills. Ability to work independently and as part of a team; to receive and respond well to feedback. Possess strong interpersonal and problem-solving skills; time-management and organizational skills, including being punctual, responsive, and efficient. Perform job with professionalism and good judgment.
Work Environment and Physical Demands
With multiple locations and settings, PCHS' work environment and physical demands vary greatly depending on the employee's role. Essential job functions include the following: The employee is required to talk, hear, see, smell, sit and stand. The employee is frequently required to move around the facility; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee is frequently required to lift and/or move up to 10 pounds and occasionally required to lift and/or move up to 25 pounds. Employees may be exposed to mechanical parts and moderate noise levels. Reasonable accommodations may be available to individuals with disabilities to perform their essential job functions.
Vaccination
PCHS requires that all employees provide proof of specific vaccinations. All offers are contingent, and your vaccination status will be verified during onboarding
Equal Opportunity
Peninsula Community Health Services is an equal opportunity/Affirmative Action employer and does not exclude persons from employment or application for employment from receipt of or participation in programs, activities, services on the grounds of race, color, sex, national origin, age, military status, marital status, religion, the presence of a physical, mental, or sensory disability, sexual orientation, gender identity, genetic information, victim of domestic violence, sexual assault or stalking, or any other characteristic protected by federal, state or local law.
Make a Difference with PCHS
Join Peninsula Community Health Services (PCHS) in making a difference in people's lives and the surrounding community every day. PCHS exemplifies a culture of community service that is Patient Driven, Empathetic, and Staff Empowered. We are, a Federally Qualified Health Center supporting access to healthcare services (medical, dental, pharmacy, behavioral health) for Kitsap County, Mason County, and Rural Pierce County.
Our Mission
PCHS exemplifies a culture of community service. Our patients come from all walks of life. PCHS services are available to our patients without regard for ability to pay.
Our Vision
PCHS strives to eliminate healthcare disparities in our community. We have medical and dental clinics located throughout Kitsap and Mason and rural Pierce County and a dedicated team working together to create a care plan that's right for you. We also bring that care directly to our patients who can't easily make it into our traditional clinics through our mobile clinics, school-based health centers, and by partnering with our community service agencies to deliver care on their premises.
Our Guiding Principle
Here at PCHS, our guiding principle is to see and value every person. We believe all patients have the right to be treated with respect and dignity with an acknowledgment that this includes their cultural, social, spiritual, and personal values and beliefs.
Our Core Values
Every member of PCHS stands by our Core Values: Patient driven. Empathetic. Staff Empowered.
We are an employer of choice because we offer
Job Responsibilities
The Billing Specialist is responsible for medical, dental, and behavioral health billing for various payers, including insurance, Medicaid, Medicare, and commercial carriers.
Essential Duties And Responsibilities
- Verify accuracy of billing data and correct errors to ensure clean claims are produced
- Perform corrections of patient registration information that includes, but is not limited to, patient demographics and insurance information
- Responsible for ensuring accurate and timely resolution of coding and billing issues
- Obtain and/or enter such documents as authorizations, financial agreements, and other ancillary documents, as necessary
- Maintain detailed records and document activities in patient accounts when appropriate or as required
- Resolve discrepancies in patient accounting records
- Monitor aging reports and take steps as necessary to guarantee timely payment of claims
- Coordinate and collect necessary information from staff, patients, or payers for claim adjudication
- Ensure that secondary bills and patient invoices are accurately generated and submitted on a timely basis
- Identify any overpayments and/or duplicate payments; investigate and resolve
- Process refund requests, in accordance with policies and procedures
- Contribute to the billing team through positive attitude, respectful interaction, innovative ideas, efficiency, and ethical behavior
- Familiar with using electronic health record (Ex. Athena and NextGen)
- Other duties as assigned
This position has no direct reports.
Qualifications
- One (1) year of customer service experience (preferred)
- One (1) or more years of experience in billing (preferred)
PCHS offers a wide variety of benefits through a customizable cafeteria plan. In addition to receiving employer-paid basic life and long-term disability insurance, eligible employees can choose between several employer-subsidized health insurance plans and YMCA and Costco memberships. PCHS also offers a 403(b)-retirement plan, pet insurance, and legal and long-term care plans, among others.
For pay equity purposes, PCHS calculates salaries based on a wage scale that incorporates a standardized approach to compensation. Accordingly, PCHS does not engage in salary negotiations for non-provider staff.
Pay Range: $16.66 -$19.58 /hour DOE
Skills
Must have excellent communication skills. Ability to work independently and as part of a team; to receive and respond well to feedback. Possess strong interpersonal and problem-solving skills; time-management and organizational skills, including being punctual, responsive, and efficient. Perform job with professionalism and good judgment.
Work Environment and Physical Demands
With multiple locations and settings, PCHS' work environment and physical demands vary greatly depending on the employee's role. Essential job functions include the following: The employee is required to talk, hear, see, smell, sit and stand. The employee is frequently required to move around the facility; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee is frequently required to lift and/or move up to 10 pounds and occasionally required to lift and/or move up to 25 pounds. Employees may be exposed to mechanical parts and moderate noise levels. Reasonable accommodations may be available to individuals with disabilities to perform their essential job functions.
Vaccination
PCHS requires that all employees provide proof of specific vaccinations. All offers are contingent, and your vaccination status will be verified during onboarding
Equal Opportunity
Peninsula Community Health Services is an equal opportunity/Affirmative Action employer and does not exclude persons from employment or application for employment from receipt of or participation in programs, activities, services on the grounds of race, color, sex, national origin, age, military status, marital status, religion, the presence of a physical, mental, or sensory disability, sexual orientation, gender identity, genetic information, victim of domestic violence, sexual assault or stalking, or any other characteristic protected by federal, state or local law.
Make a Difference with PCHS
Join Peninsula Community Health Services (PCHS) in making a difference in people's lives and the surrounding community every day. PCHS exemplifies a culture of community service that is Patient Driven, Empathetic, and Staff Empowered. We are, a Federally Qualified Health Center supporting access to healthcare services (medical, dental, pharmacy, behavioral health) for Kitsap County, Mason County, and Rural Pierce County.
Our Mission
PCHS exemplifies a culture of community service. Our patients come from all walks of life. PCHS services are available to our patients without regard for ability to pay.
Our Vision
PCHS strives to eliminate healthcare disparities in our community. We have medical and dental clinics located throughout Kitsap and Mason and rural Pierce County and a dedicated team working together to create a care plan that's right for you. We also bring that care directly to our patients who can't easily make it into our traditional clinics through our mobile clinics, school-based health centers, and by partnering with our community service agencies to deliver care on their premises.
Our Guiding Principle
Here at PCHS, our guiding principle is to see and value every person. We believe all patients have the right to be treated with respect and dignity with an acknowledgment that this includes their cultural, social, spiritual, and personal values and beliefs.
Our Core Values
Every member of PCHS stands by our Core Values: Patient driven. Empathetic. Staff Empowered.
We are an employer of choice because we offer
- Full comprehensive benefits including, health, life, disability, 403(b), CME allowance (specified positions), and more…
- Wellness benefits
- School loan repayment potential (providers only)
- Four- or five-day work weeks and flexible schedule-allows plenty of time for work/life balance (clinical staff only)
- Mission-driven-be a part of a group that truly cares about their community and has the goal to give back * * *
Salary : $17 - $20
