Job Title: Billing Specialist Job Category: Finance
Wage Classification: Hourly/Non-exempt
Location: North Bend
Position Type/Status: Full-time, benefitted
Travel: NB
Salary Range: $20.22 to $24.88 per hour
Reports to: Finance Manger
Manages Direct Reports: No
HR Review & Approval: 4/18/24 Job Description
Job Purpose: Implement Waterfall Community Health Center's (WCHC) mission, philosophy, and goals in all activities. This position is responsible for leading, monitoring and maintaining the credentialing and re-credentialing process for Waterfall Community Health Center's providers, and must have an excellent knowledge of medical billing, be responsible, highly organized, and have a good eye for details. Billers must have the ability to operate a computer and basic office equipment, the ability to read and understand oral and written instructions, and the ability to establish and maintain effective working relationship with patients, employees, and the public, and of course they must also have a desire and dedication to work and have self-discipline. Duties/Responsibilities: Responsible for collecting, posting, and managing account payments. Prepare and submit claims electronically or by paper. Responsible for maintaining records of medical billing and claims, settlements, and medical insurance. Answers questions from patients, staff, and insurance companies, as well as identify and resolve patient billing complaints. As needed, verify the diagnoses and the procedures with providers. Calculate patient fee from sliding-scale fee schedule. Verify that required documentation was received from client. Check OHP and other eligibility on-line. Be available to assist the front office based on staffing. Attend occasional training course. Enter payments into practice management system. Prepare deposit and reconcile to practice management system. Assist in preparation of quarterly Medicare report (upon completion of training) Assist in preparation of Medicaid wrap reports. (upon completion of training) Other duties as assigned. Required Skills/Abilities: Computer keyboarding and ability to chart within the Electronic Medical Records system. Attend scheduled staff and medical meetings unless excused. Ability to read, write legibly and converse effectively in the English language. Ability to read, write legibly and converse effectively in the Hispanic language preferred. Ability to solve problems utilizing appropriate resources. Adaptability and flexibility. Personal attributes are consistent with the Mission, Vision and Values of Waterfall Community Health Center. Places a high value on customer service and relations. Maintains an awareness of and adheres to appropriate clinic policies. When a question or conflict arises, presents concerns in a positive and respectful manner through the appropriate channels. Accountability – Role model WCHC's mission, vision, and shared values. Customer Focus - Listen to the voice of the customer and strive to delight them by exceeding their expectations. Teamwork – Work done by several associates with each doing a part, but all contributing to the efficiency of the whole. Ethical – Demonstrate integrity, honesty, and stewardship in all encounters at work. Respect – Demonstrate consideration and appreciation for co-worker and patients. Communication – Demonstrate the ability to convey thoughts and ideas as well as listen to and understand the perspective of others. Cultural Sensitivity – Respectful of other individuals regardless of their race, creed, religion, color, national origin, ancestry, age, sex, affectional or sexual orientation, gender identity, marital status, atypical heredity, cellular or blood trait, disability, liability for service in the US Armed Forces, or any other legally protected status. Education and Experience: Prior experience in billing for a health care facility is preferred. High School Diploma or equivalent. Bilingual in Spanish/English, preferred. Two years current experience in medical office/billing applications. Priority setting ability and organizational skills. Excellent skills in verbal communication. LICENSURES/CERTIFICATIONS REQUIREMENT: Non-violent Crisis Intervention Comprehensive training class completed within 6 months of hire and recertify prior to the expiration date. Current American Health Association (AHA) Basic Life Support Card (BLS) or within 6 months of hire. Immunizations Required: TB (test upon hire) Physical Requirements: Prolonged periods sitting at a desk working at a computer. Able to lift 15 pounds occasionally. Able to travel as needed. Benefits: Internal Student Loan Repayment up to $50,000 (for licensed providers) Up to $200 per month in student loan repayment for all other employees. Competitive PTO Accrual (up to 193 hours of PTO accrual each year to start) 7 Paid Holidays Medical/Dental/Vision 100% employer paid Extra Oral Wellness Benefits for employees who have great risk for oral diseases 401K Retirement Plan 6% match Short Term Disability - options for long term disability $50,000 Life Insurance Policy- options for additional voluntary life Health & Fitness Gym Membership Discount Active Fit Direct- Access to 5,500 Digital Workout Videos Bonusly – Internal Employee Recognition Platform Employee Assistance Program (EAP) Will Preparation Services, Legal Consultation, Financial Planning Assistance Discounted Hearing Program Worldwide Travel Assistance Program Comprehensive Identity Thief Protection
