At Samaritan, we serve as a trusted regional healthcare partner and strive to create meaningful impact for our community every day. This role is responsible for billing patient accounts accurately, ensuring timely claim submission and reimbursement from third-party payers, maintaining proper documentation in the billing system, and following up on aged accounts.
This is a full-time remote position with a requirement to come on-site for onboarding and equipment pickup for two days only. The schedule is Monday through Friday, 8:00 AM to 4:30 PM PST.
Essential functions
- Complete daily electronic billing files and submit insurance claims to third-party payers.
- Review, evaluate, and forward paper claims for payers that do not accept electronic submissions or require special handling.
- Document billing activity on patient accounts and ensure compliance with billing regulations.
- Answer patient and guarantor questions regarding billing, payments, and adjustments.
- Follow up on outstanding accounts and verify accurate reimbursement from payers.
- Communicate with payers to resolve outstanding claims, payment variances, and correspondence issues.
- Use correct billing codes to support proper claim processing and make corrections as needed.
- Research denials, correct issues, resubmit claims, and assist with written appeals.
- Review and resolve credit balances.
- Ensure accurate application of payments and timely processing of refunds.
- Maintain knowledge of payer guidelines, reimbursement practices, state and federal regulations, and patient status rules such as Medicare Secondary Payer, ABNs, and EMTALA.
- Support team communication and uphold organizational values, policies, and professional standards.
Requirements & Qualifications
Education and experience
- High school diploma or equivalent required.
- 1-2 years of customer service and/or business office experience preferred, ideally in a medical setting.
- Minimum 1 year of relevant hospital or clinic billing experience.
Skills and competencies
- Knowledge of third-party payer guidelines, reimbursement, follow-up, and collections.
- Knowledge of claims review and analysis.
- Familiarity with ICD-10, CPT, and HCPCS coding.
- Understanding of medical terminology.
- Strong critical thinking and independent problem-solving skills.
- Ability to work accurately and professionally in a healthcare environment.
- Bilingual English/Spanish preferred.
Physical requirements
- Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling.
- Ability to lift and carry up to 10 lbs.
- Ability to communicate clearly with physicians, nurses, patients, families, and the public.
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago