Job description

This position qualifies for a hire on bonus of $1000 with 1/2 paid with 1st check after hire and 1/2 paid with 1st check following 6-month probationary period.

Clatsop Behavioral Healthcare (CBH) is seeking a full time Insurance Billing Coordinator. The primary purpose of this position is to ensure healthcare providers are paid for services rendered while maintaining compliance with contracts, payment structures, legislation and rules that impact billing and collection.

This position will follow-up on any outstanding Accounts Receivable for all payers, including self-pay, and will work to resolve claim denials and secure payment. This position bills a variety of payers for services rendered to clients including Medicaid, Managed Care Plans, contracts, private and commercial insurers, and guarantors.
Essential Duties and Responsibilities:

• Ensuring all claims are processed in a timely manner.
• Submitting electronic claims and manual invoices/claims to contracted payers.
• Verifying insurance eligibility benefits and authorizations are in place.
• Reviewing and approving claims to bill out to the payers. Following up on errors and/or reversing claims that need to be reprocessed.
• Preparing and sending billing statements to clients.
• Utilizing and interpreting explanation of benefits responses to process insurance claims.
• Approving and posting payments.
• Adding and maintaining grant payments and apply payments to client claims.
• Notifying staff if they need to complete missing or have incomplete documentation.
• Programing modules when necessary i.e. fee matrix, activities modules, procedure module, roll up rules, and payer module, etc.
• Providing customer service by responding to inquiries from payers, clients and co-workers regarding claims, financial information set up, billing and payments.
• Investigating and resolving outstanding balances with payers.
• Correcting and reprocessing accounts as needed.
• Reviewing, processing, and resolving any failed or scrubbed activities and failed claims.
• Following up with insurance companies/providers if more authorizations are needed.
• Running necessary reports to process claims for instance, authorizations, aging, tracking unpaid claims.
• All CBH Staff are Mandatory Abuse Reporters per the State of Oregon, as such all staff must be aware of and follow Mandatory Abuse Reporting Policies.
• Other duties as assigned

Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• 2-4 years’ prior experience as a billing specialist with strong understanding of medical coding.
• 1 year of medical billing/coding
• Knowledge of medical codes, billing procedures, legal billing guidelines, posting procedures.
• Knowledge of Health Insurance Portability and Accountability Act HIPAA and importance of maintaining confidentiality.
• Ability to understand and appropriately apply contractual language in various situations.
• Experienced at observing, receiving, and otherwise obtaining information from all relevant sources.
• Experience with compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
• Perform administrative activities such as maintaining information files and processing paperwork.
• Required to have and maintain an Oregon or Washington Driver’s license and meet the agency’s insurance carrier’s insurance standards at the time of hire.

Preferred:

• Associates Degree in Accounting or Finance or equivalent work experience.
• Experience working with confidential information.

The above statements are not intended to be an exhaustive list of all responsibilities, duties, and skills.

Benefits:

CBH offers an exceptional BENEFIT package.

For full time employees, benefits include: Medical (minimal premium cost to employee), Dental (Employer Paid), Vision (employer paid), 403B Retirement (fully vested 5% employer contribution after 1 year of employment), Life Insurance (Employer Paid), Short-term Disability (Employer Paid), and Employee Assistance Program. Dependents covered on medical, dental and vision at cost to employee.

12 paid holidays and 22 days of PTO years 1-3, increases after year 3. PTO accumulation starts at hire and is available for use as accumulated. Employees are eligible for elective training reimbursement of ($500/yr for unlicensed clinicians and $1000/yr for licensed clinicians.) CBH also offers sabbatical of 22 days after 10 years of service and annual elective training fund that includes 5 paid days for training. Relocation assistance, supervision towards licensure available.

Salary DOE.

Application can be found on our website at https://www.clatsopbh.org/careers.php

Please submit application along with your cover letter, resume and references as directed from our website.

Job Type: Full-time

Pay: $21.69 - $26.68 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Medical Billing: 1 year (Preferred)

Work Location: Hybrid remote in Warrenton, OR 97146

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