AR Follow Up Specialist I

About the Role

Join our Billing team as an AR Follow Up Specialist I at Central Administration in Toppenish, WA. Be part of a healthcare organization that believes in making a difference beyond medical care. We are a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon, offering a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, behavioral health, shelter assistance, energy and weatherization support, HIV/AIDS counseling, home visits, and mobile medical/dental clinics.

Pay

$19.96 - $24.45 per hour (DOE), with the ability to go higher for highly experienced candidates.

Benefits

• 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO and 8 paid holidays

Responsibilities

• Prepare and process insurance claims timely and accurately to government, commercial, and managed care payers
• Evaluate third-party payments to ensure accuracy relative to contract language (underpayment/overpayment)
• Compile and file all information needed to appeal denials
• Enter appropriate account notes in the Epic billing system to clarify actions taken to reconcile accounts
• Evaluate the payment status of outstanding third-party claims and resolve any impediments to payment by providing information such as appropriate medical records, detailed itemization of charges, information regarding other insurance benefits, and explanation of charges
• Resolve payer denials using payor portals or other third-party sites
• Verify eligibility for coverage via multiple payor websites
• Assure compliance with billing requirements for workers' compensation and third-party liability claims
• Uphold Medicare, Medicaid, ADA, and HIPAA compliance guidelines in relation to billing, collections, and PHI information
• Maintain confidentiality of all patient demographics and medical and financial information at all times
• Maintain Epic Follow Up Work queues to department daily standard
• Maintain awareness of payer process changes and share information with the team so billing guides remain current and accurate
• Perform other duties as assigned

Requirements

• High School diploma or General Education Diploma (GED)
• Minimum six months experience in healthcare billing
• FQHC Billing or Coding Experience is preferred
• Epic system experience is preferred
• Certified Revenue Cycle Representative (CRCR) preferred
• Knowledge of accounts receivable processes required
• Strong attention to detail and accuracy
• Strong customer relations skills preferred
• Maintain consistent performance and attendance standards
• Effective verbal, written, and listening communication skills are essential

About Us

Our mission: “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.” Our mission celebrates inclusivity.