Medical Billing Specialist I

Full-time, on-site position in Bremerton, WA.

Pay

$22.90 – $28.05 per hour.

Benefits

• Comprehensive health, dental, and vision coverage
• Up to 19 days of paid time off plus 2 mental-health days and 10 holidays (pro-rated for part-time)
• Fully paid YMCA membership for you and eligible family members
• Company-paid life and disability insurance
• Student-loan assistance and professional-development opportunities
• 403(b) retirement plan with company contributions
• Employee Assistance Program (EAP)
• Pet insurance
• Free wellness app (2MorrowHealth)

About the role

Kitsap Mental Health Services (KMHS) is seeking a Medical Billing Specialist to support the financial operations behind our behavioral-health services. This role helps ensure claims are submitted accurately, payments are received promptly, and billing issues are resolved efficiently. The work is detail-oriented and plays an important part in supporting access to care across the agency.

Responsibilities

• Process and review insurance claims, explanations of benefits (EOBs), vouchers, denials, payments, collections, and refunds
• Review denied or partially paid claims, investigate discrepancies, and work with involved parties to resolve billing issues
• Gather supporting documentation from medical records, notes, invoices, and other sources to prepare claim appeals
• Monitor electronic claims, resolve claim errors, submit requested information, and follow up to ensure timely reimbursement
• Process charges using appropriate CPT and diagnosis codes and maintain knowledge of current coding requirements
• Provide support and guidance related to coding and billing compliance
• Communicate with providers, clients, insurance companies, and other stakeholders regarding claim status and billing questions
• Work with supervisors, teammates, and available resources to resolve billing and collection concerns
• Maintain billing quality standards by following established policies, procedures, and regulatory requirements
• Complete administrative tasks including answering phones, filing, faxing, email correspondence, and documentation management
• Maintain accurate account activity records and billing system documentation
• Review and process correspondence received from third-party payers
• Prepare billing, collections, and accounts receivable reports as requested
• Maintain compliance with all applicable federal, state, and payer requirements
• Utilize billing systems, Medicare and Medicaid platforms, and payer websites to submit and manage claims
• Monitor accounts receivable aging reports and take action to support timely reimbursement
• Participate in trainings, meetings, and professional development activities

Requirements

• High school diploma or GED
• Good working knowledge of claim submissions (UB04/HCFA 1500) and third-party payers
• Knowledge of insurance billing and collection principles, problem-solving abilities, customer-service orientation, and effective communication skills
• Experience with auditing processes
• Experience reading and understanding remittance advices, Explanation of Benefits, and denial letters
• Knowledge of credentialing databases (NPBD, CAQH, ProviderOne, etc.)
• Skill in establishing and maintaining effective working relationships with employees, clients, organizations, and the public
• Courtesy, tact, and diplomacy in interpersonal interactions
• Strong written and verbal communication skills
• Proficiency in Microsoft Office and computerized accounting systems
• Ability to operate computers and basic office equipment
• Detail-oriented, organized, with good analytical and problem-solving ability
• Ability to work independently and as a team member in a fast-paced environment
• Adaptability to changing demands and diverse situations

Preferred Qualifications

• Bachelor’s degree in accounting, business, or a related field
• Minimum of 2 years of job-related experience
• Coursework in medical or psychiatric terminology
• Two or more years of experience in billing, front desk, or patient services
• Experience using an Electronic Health Record (EHR)

Work Environment

• Office setting
• Frequent mobility and/or sitting for extended periods
• Must be able to walk, sit, use hands and fingers, reach with arms, talk, or listen

Equipment Operated

• Standard office equipment including computers, fax machines, copiers, printers, and telephones