Billing Analyst
2 days ago
We are seeking a qualified Billing Analyst to be responsible for reviewing individual charges and processing claims and denials to maximize patient revenue. The position requires working knowledge of local, state, and federal billing requirements, including third-party payers. The incumbent must have experience using an automated patient management system, including billing and practice management systems.
Background
The Business and Revenue unit does the billing in Epic Resolute and provides training/support of the Epic Practice Management System to 13 main clinic locations throughout King County, including 3 School Based Health Centers, some satellite clinics, and mobile units. The team is a close-knit group that works together in troubleshooting claims and denials in Epic Resolute. The work environment is fast-paced, flexible, and the position is based in Chinook, but the majority of work can be done remotely. There is an opportunity to work with a fun and positive team and provide healthcare services to the most vulnerable populations.
The team is responsible for reviewing and processing claims and denials in Epic Resolute to maximize patient revenue. The team provides specialized financial revenue cycle analysis for the Community Health Services and Prevention Division within Seattle King County of Public Health. The team also provides training and support for the Epic Practice Management/Registration system to our front desk users at the clinics.
Commitment To Equity and Social Justice
Named after Dr. Martin Luther King, Jr., King County is a vibrant international community with residents representing countries from around the world. The county government has a deep commitment to equity and social justice and advancing practices, strategies, and policies that promote fairness, justice, and opportunity for all.
Work Schedule
Monday through Friday, 8:00 am to 5:00 pm, 40 hours per week. This position is Non-Exempt and subject to the provisions of the Fair Labor Standards Act.
Work Location
The work will be performed primarily remotely, but the selected candidate will need to go to the Chinook Building where the position is based, located at 401 5th Ave, Seattle, WA, 98104 on an as-needed basis. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.
- Assist with interpretation of private, state, and federal billing requirements to assure compliance and optimal revenue.
- Coordinate third party payer billing requirements with Public Health staff including clinical, program, and business practices staff.
- Assist with coding for proper billing and reimbursement.
- Review charges for billing compliance and accurate data collection.
- Provide analyses/recommendations to Public Health Centers and/or providers to ensure billable encounters and billing requirements are met.
- Process charges and claims for billing to maximize patient generated revenue.
- Monitor accounts receivable and resolve aging accounts.
- Analyze, research, and resolve outstanding and/or denied claims.
- Analyze, research, and resolve guarantor and pended claims.
Our ideal candidate will demonstrate the following (Minimum):
- Demonstrated experience of healthcare insurance billing.
- Demonstrated knowledge of Federal and State laws governing insurance billing.
- Demonstrated experience gathering, researching, and analyzing data.
- Demonstrated problem-solving skills.
- Demonstrated experience with insurance verification systems.
- Demonstrated experience with automated systems and software applications.
- Knowledge of basic accounting principles.
- Skilled in working under constant time constraints and meeting deadlines.
- Excellent verbal and written communication skills.
The most competitive applicants will have the following experience and qualifications (Desired):
- Demonstrated knowledge of Washington state Medicaid programs and billing requirements.
- Demonstrated knowledge of Federally Qualified Health Center billing requirements.
- Knowledge of CPT, ICD, and CDT codes.
- Demonstrated experience with Epic Prelude and Resolute.
Forbes named King County as one of Washington State's best employers.
Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference?
King County is an Equal Employment Opportunity (EEO) Employer
To Apply
If you are interested in pursuing this position, please follow the application instructions carefully.
Who May Apply
This Career Service position is open to all qualified applicants.
Application Process
The following items are required to be considered for this vacancy:
- NeoGov Job Application.
- Supplemental Questions.
Necessary Special Requirements
The selected candidate must be able to pass a thorough background investigation.
Union Membership
Represented by PROTEC17 labor union.
Contact
For questions about the application process, contact Catherine Fitzpatrick, Sr. HR Analyst at .
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