Billing Specialist #43

4 weeks ago

Portland, United States LifeWorks Northwest Full time

Billing Specialist #43

The Billing Specialist is responsible for billing of private pay, private insurance, Medicare and Medicaid fund sources.

Location: This position is based out of LifeWorks NW's Sylvan site.

Pay/Benefits: $22.26 starting hourly pay plus, Full benefits.

Essential Responsibilities:

* Coordinate with staff and other sites to identify and determine authorizations and reauthorization. This includes ensuring authorizations are in place; maintaining a tracking system; following up with front desk staff and clinicians when a client is approaching authorization limit.
* Contact clients in order to obtain or relay insurance/account information, respond to customer inquiries regarding insurance/account issues.
* Follow-up on Explanation of Benefits from funding sources (e.g., denied claims).
* Post 3rd party payments to client accounts and audit the payments for accuracy.
* Coordinate with primary therapist to get updated treatment plans, form completions, etc. for reauthorization as needed. Submit required paperwork to funder.
* Update proprietary software for insurance eligibility and authorized services.
* Review printed claim forms for completeness and complete claims/invoices as needed and submit to insurance.
* Verify insurance eligibility and benefits via phone or state system/insurance website.
* Keep records of invoices and support documents.
* Resolve discrepancies in accounts receivable records.
* Train Billing Specialists and other agency staff on billing insurances, the clients' accounts receivables, authorizations, and/or any part of the billing process.
* Enter data into computer, reference information on the computer and run basic computer reports.

Qualifications:

* High school diploma or equivalent.
* Minimum 1 year experience in insurance, accounts receivable and/or billing.
* Good computer skills including a functional knowledge of Outlook, Word and Excel. Ability to master proprietary software which may include on-line billing.

Working Conditions

The Billing Specialist will work in an office setting that is out of the elements with potential for some hybrid/remote work. This position requires a defined scheduled time, Monday - Friday, with the flexibility to work varied hours; possibly working weekends or evenings.

LifeWorks NW is a private, non-profit organization providing prevention, mental health, substance use treatment, and related social services to youths, adults, and older adults in over fifteen locations throughout Multnomah, Washington, and Clackamas counties. LifeWorks NW promotes a healthy community by providing quality and culturally responsive mental health and addiction services across the lifespan.

Our core values-Recovery and Relationships, Resilience, and Results-inform the work we do. The four pillars of the strategic vision include Compassionate, Impactful Care, Holistic Health, Passionate Team, and Thriving Organization. Diversity, Equity, and Inclusion are critical to successfully achieving the mission. We know that "life works" when people get the help they need and are dedicated to changing lives.

Equal Opportunity Employer

www.lifeworksnw.org

Drug Free/Tobacco Free Site 01/09

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