Job Description
Join our dynamic finance team at Pacific Northwest Health Partners as we revolutionize healthcare billing efficiency in the Pacific Northwest. We're seeking a meticulous Billing Specialist to optimize revenue cycles and ensure compliance with evolving healthcare regulations. Enjoy competitive compensation, comprehensive benefits, and a collaborative environment where your expertise drives tangible impact.
Responsibilities
- Manage end-to-end billing processes for 500+ patient accounts
- Resolve complex insurance claim denials within 15-day SLA
- Reconcile accounts receivable daily with 99.8% accuracy
- Implement CPT/ICD-10 coding best practices
- Analyze billing data to identify process improvement opportunities
- Train staff on new billing software implementations
- Ensure HIPAA/FDCPA compliance in all billing operations
Qualifications
- 5+ years medical billing experience with commercial payers
- Certified Professional Biller (CPB) credential required
- Expertise in Epic/Raintree billing systems
- Advanced knowledge of Oregon Medicaid regulations
- Proficient in Excel data analysis and reporting
- Proven track record of reducing DSO by 20%+
- Strong negotiation skills with insurance companies
- BS in Healthcare Finance or related field preferred