Billing Specialist II

Description Step Into a Role Where Your Billing Expertise Drives Impact & Excellence! Location: Tacoma, WA | On-Site Schedule: Full-Time | Mon – Fri, 8:00 AM – 5:00 PM Hiring Range: $23.52 - $26.75 per hour Position Close Date: Open Until Filled Take your revenue cycle expertise to the next level in a dynamic role. As a Billing Specialist II at the Puyallup Tribal Health Authority (PTHA) , you will perform billing functions — including claim processing, payment posting, insurance verification, and denial resolution — while also supporting team workflows, reporting, and compliance. Your work ensures patient accounts are managed with precision, timeliness, and full alignment with payer requirements and organizational standards. What You’ll Do: Process high volumes of medical, dental, and orthodontic insurance claims using ICD-10, CPT and HCPCS coding standards to ensure accurate and timely billing. Verify patient insurance eligibility, benefits, and payer requirements to support compliant claim submission and reimbursement. Generate, submit, and reconcile electronic (837/835), CMS-1500, and ADA claims while ensuring adherence to payer guidelines. Review, research, and resolve denied or rejected claims by correcting billing errors, coordinating coding revisions, and resubmitting claims for payment. Manage assigned accounts receivable (A/R), monitor aging reports, and perform follow up activities to improve collections and reduce outstanding balances. Post insurance and patient payments, adjustments, and denials accurately while reviewing Explanation of Benefits (EOBs) and remittance documentation. Prepare and distribute patient statements, process Medicaid eligibility updates and spend-down billing, and monitor payer reports to identify and resolve unbilled claims. Analyze billing trends, identify process inefficiencies or system issues, and recommend workflow improvements to enhance billing accuracy and productivity. Train and support new billing staff by providing guidance on billing systems, workflows, and organizational procedures. Maintain compliance with HIPAA, OSHA, confidentiality, and organizational policies while participating in required annual regulatory and safety training. What You Bring: High School Diploma or GED required Three (3) years of recent experience in medical billing or revenue cycle operations Dental billing experience preferred Why PTHA? We are more than a clinic — we're a culturally grounded, patient-first health and wellness center serving the Indigenous community. We value teamwork, integrity, and community well-being. Here, your work has meaning. Work in a mission-driven, accredited organization Serve a close-knit patient population in an urban reservation setting Enjoy opportunities for professional development and training Experience a strong support system and inclusive team culture Perks of the Role: Meaningful Mission – Contribute to the overall wellness of a tribally operated health organization dedicated to serving the Indigenous community with respect, humility, and compassion Engaging Experience – Hands-on experience with modern digital dental technology Competitive Compensation – Receive a fair salary that reflects your expertise and the impact of your work Supportive Team Culture – Join a collaborative and inclusive environment where respect and ethics are core values Cultural Enrichment – Work in an organization that values and integrates Indigenous traditions, community care, and cultural sensitivity Stability & Impact – Be part of a long-standing, accredited institution that plays a vital role in community health and development PTHA Employee Benefits: Supportive environment that values a healthy work/life balance Medical/Dental/Vision monthly premiums paid 100% by PTHA for employees (health coverage begins the first of the month following hire date) (13) annual leave (vacation) days + (13) annual sick leave days (18+) annual paid holidays including a birthday holiday 401(k) with annual profit-sharing contributions after (1) year of service Life and AD&D insurance coverage Have student loans? PTHA is an approved loan repayment site for various student loan programs This is more than a billing position — it’s an opportunity to lead, influence processes, and make a meaningful impact on both operations and patient care. You’ll play a critical role in strengthening the revenue cycle while supporting a mission-driven organization committed to community health. In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors. #J-18808-Ljbffr