Billing Specialist III

About the role

The Billing Specialist III serves as a primary contact/resource for all aspects of the revenue cycle, provides training to new employees and BestCare staff including “shoulder-to-shoulder” training, completes special project work and reporting as needed.

Essential Functions

• Serves as a subject-matter expert for the Billing staff to provide training and help resolve issues;
• Develops training documents and provides training to new BestCare staff;
• Serves as a primary contact and resource for all BestCare sites on all aspects of the revenue cycle, including coding, billing, and documentation best practices;
• Primarily responsibility to provide revenue-cycle reporting;
• Completes special projects as assigned;
• May be required to perform billing functions of other Billing staff, as needed;
• Other related duties as assigned.

Organizational Responsibilities

• Models BestCare’s mission, vision, and values, promoting integrity, compassion, and collaboration;
• Supports the organization’s commitment to equity and inclusion, fostering an environment of open-mindedness, cultural awareness and respect for all individuals;
• Aligns department goals with organizational strategic initiatives;
• Complies with Code of Conduct, Business Ethics, Employee Handbook, and all relevant policies and OARs;
• Maintains professionalism, confidentiality, and compliance with HIPAA, 42 CFR, and Oregon statutes;
• Completes assigned training timely and satisfactorily, and attends other seminars, training, and educational opportunities to develop professional skills and abilities;
• Ensures that any required certifications and/or licenses are kept current and renewed timely;
• Works independently and collaboratively as a positive member of the BestCare team;
• Performs other organizational duties as assigned.

Requirements

• EDUCATION AND/OR EXPERIENCE: Associate’s degree in related field or HSD/GED and equivalent in related education/experienceMinimum 4 years of experience with Epic software systemsMinimum 4 years of experience with revenue cycle billing Preferred Bilingual in English/Spanish a plus
• REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: Proficiency in Epic Software SystemsHigh proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), familiarity with CMS billing rules and associated billing requirements;Strong interpersonal and customer service skills;Strong communication skills (oral and written);Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through;Excellent time management skills with a proven ability to meet deadlines;Critical thinking skillsUnderstand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;Ability to build and maintain positive relationships;Ability to function well and use good judgment in a high-paced and at times stressful environment;Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;Ability to work effectively and respectfully in a diverse, multi-cultural environment;Ability to work independently as well as participate as a positive, collaborative team member