Biller

East Portland Surgery Center is looking for a Billing Specialist to join the team!!!

• A great place to work!!

• Full insurance plan (medical, dental, vision, life, long- & short-term disability, ETC.); 401k; Excellent time off package, including 7 paid holidays per year + 2 personal days + 1 week city sick leave (CSL) + generous PTO plan

• Schedule: Monday - Friday, with NO nights, NO weekends, NO holidays, and NO call

• Easy location & parking

• Job Summary: The Billing Specialist at EPSC is responsible for overseeing the entire billing process for patient accounts, from submitting all billings to insurance in a timely manner, to working with our coding specialist to ensure that all cases are coded correctly, leading monthly coding audits, and taking the lead role in driving insurance collections. This position will cover both EPSC and Cascade Spine Center (CSC) in Tualatin and will be based at EPSC. (anticipated time split is EPSC 60% / CSC 40%)

Essential Job Duties and Responsibilities include the following:

• Electronically submit patient procedure bills to third party payers

• Perform timely and accurate postings of payments received from third party payers and/or patients

• Perform timely and accurate processing of all rejected and denied claims submitted to third party payers

• Contact insurance companies to collect outstanding payments

• Monitor and collection of AR aging

• Knowledge of how to interpret a managed care contract, Medicare and Medicaid, and Workers Compensation claims is a must

• Identification of accounts that have been either under or over paid

• Issuing credit balance information either to the insurance carrier or the patient

• Excellent communication and negotiation skills

• Ability to work independently and interdependently with other business office staff

• A team player

• A professional demeanor and appearance

• Works well in stressful environment and in situations that demand patience

Job Qualifications:

• Proven experience (3 years preferred) in medical billings, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.

• A top performer with an extensive knowledge of billing, collections and reimbursement of claims processing

• Fluent in medical terminology and CPT codes

• Ability to work independently

• Organization, time management and task prioritization abilities

• Ability to be discreet and maintain the security of patient information

• Excellent verbal & written communication skills, and interpersonal skills

• Excellent customer service skills, always demonstrating professionalism

• Comfortable utilizing critical thinking skills

• High School Diploma or equivalency

• Proficient with Microsoft Office products

• Understanding of healthcare specific policies, such as HIPAA regulations

Job Behavior:

Reflective of EPSC & USPI's mission:

"Our mission is to care for every patient and their family as if they were our own. Each patient, each family, each and every time."

Demonstrates ability to work as a team member, and to communicate clearly, directly and professionally. Is flexible, reliable, productive, patient-oriented, and self-motivated. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served. Maintains professional conduct and appearance. Portrays the facility and peers in a positive light to others, internally and externally.

Reasoning & Language Skills: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Excellent verbal and written communication skills essential.

Physical Demands: Shall be physically able to stand, walk, and maintain varied body motions and positions for long periods of time. Demonstrates manual dexterity. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee shall be able to use hands to finger, handle, or feel objects or tools. The employee is required to stand, walk, climb, balance, stoop, kneel, crouch, or crawl. Shall be able to hear and speak. Shall be able to move up to 40 pounds.

USPI'S EDGE (Every Day Giving Excellence)

USPI'S EDGE is the key to the differentiation of USPI as a customer-focused company. The process of completing EDGE requirements establishes processes and measurements that are collected, assimilated, and shared throughout USPI. All employees are involved with EDGE. The involvement can range from doing their jobs to taking on the role of gathering and/or entering data into the computer. All employees shall at some time during their employment be required to participate in the EDGE program.

Health Insurance Portability and Accountability Act of 1996

Responsible for knowing the processes involved assuring the standards established by HIPAA, and ensuring they are followed including the practices and records relating to the use and disclosure of Protected Health Information.

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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