Responsible for investigating, appealing, and resolving denied insurance claims to recover lost revenue by correcting errors, gathering medical documentation, and overturning payer decisions. This is a full-time, hourly, on-site position reporting to the Billing Manager.
Key duties include reviewing aged trial balance items, analyzing explanation of benefits and payer portals, drafting and submitting appeals, tracking appeal timelines, documenting actions in the EHR patient accounting system, identifying recurring denial trends, and collaborating with billing, accounts receivable, case management, and clinical teams.
Qualifications
- High school diploma or equivalent
- 3 years of progressive on-the-job experience in medical billing required
- Experience with ICD-10, medical terminology, Medicaid, Medicare, and commercial insurance billing guidelines
- Experience with EHR systems and billing software, especially Qualifacts Insync HealthCare
- Strong communication, organizational, multitasking, and follow-through skills
- Detail-oriented, self-directed, and able to work with limited supervision
- Ability to maintain strict ethical and professional boundaries
- Willingness to work in a change-based environment
- Must be able to pass a drug test
Preferred Experience
- Behavioral healthcare billing experience
- Medicare billing experience
- Claim denial management experience
- Medical Billing Certification
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Location
Spokane, Washington, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago