ACCOUNTS RECEIVABLE & BILLING SPECIALIST. Job in Seattle LilyLifestyle Jobs

Core Competencies Commitment to Indigenous and Organizational Values: Everything we do at SIHB is centered on Traditional Indian Medicine. It is our responsibility to maintain cultural integrity in all that we do. Accountability: All employees of SIHB effectively manage their own work and the work of their teams. We take ownership of our actions and decisions. We all strive to deliver the highest quality work and care, while respecting our teammates and relatives. Collaboration: SIHB is a team-oriented organization. As team members, we share the responsibility of working toward a common goal. We collaborate with our colleagues across the organization to deliver the highest quality of care and results in alignment with our mission, vision, values, and Theory of Change. Communication: We practice effective and clear communication with staff, relatives, teams and community. We demonstrate empathy among each other and with those we serve, and transparency in our decision making. Customer Service Orientation: All employees of SIHB recognize the needs of the diverse community we serve. We put the needs of our relatives first by delivering the highest quality, professional, responsive, and innovative care. Our relatives come first and deserve the best. Position Summary Manages the financial aspects of patient accounts, focusing on ensuring timely and accurate payment from patients and insurance companies. Organizational Structure / Reporting Relationships This position reports directly to the Revenue Cycle Manager. Organizational Responsibilities Hold Indigenous values and practices with respect and integrity Hold yourself accountable to the highest standard by being resourceful, innovative, creative and solutions-oriented Actively participate in organizational activities with the understanding that success is achieved through teamwork. Recognize that communication is central to the organization's success and actively champion your words and actions to maintain respect for others, encourage constructive feedback, be open to share laughter and acknowledge differences in skills and opinions, all while keeping others' best intentions in mind. At SIHB, we refer to our customers as Relatives. Our Relatives come first and deserve the best. Serve the needs of our Relatives first by delivering the highest quality, professional, responsive and innovative care. Job Responsibilities Accurately prepare, review, and submit insurance claims to appropriate payers in a timely manner. Ensure all required documentation, coding, and patient information are complete and compliant with payer guidelines to minimize rejections or delays Investigate denied or rejected claims by analyzing payer feedback and identifying root causes. Take corrective action by revising and resubmitting claims, filing appeals when necessary, and maintaining detailed records of all follow-up activities to ensure resolution. Maintain and update patient account records, ensuring accuracy of billing information, insurance details, and payment history. Monitor account balances and tracks all transactions to ensure proper account maintenance and transparency. Reviewing and reconciling accounts Proactively pursue outstanding balances from patients and insurance companies through calls, emails, and written correspondence. Establish payment plans when appropriate and ensure consistent follow-up to improve collection rates while maintaining positive patient relationships. Regularly audit accounts receivable to verify accuracy and completeness. Reconcile discrepancies between payments, adjustments, and billed amounts, ensuring all transactions are properly recorded and aligned with financial records. Analyze billing processes to detect trends, errors, or inefficiencies. Collaborate with internal teams to resolve issues such as coding errors, duplicate charges, or system inconsistencies, and recommend process improvements to enhance billing accuracy. Serve as a point of contact for patients, insurance representatives, and internal staff regarding billing inquiries. Clearly explain charges, payment options, and insurance coverage while resolving concerns in a professional, empathetic, and timely manner. Ensure all billing and collections activities comply with relevant regulations, policies, and standards (e.g., HIPAA and payer-specific requirements). Stay informed on industry updates and implement best practices to maintain compliance and reduce risk. Requirements High school diploma or equivalent Two years' experience in a customer service-related role. Preferred Medical Billing or Coding Certification, two+ years' experience in medical, dental, and/or behavior health billing may substitute for Medical Billing and Coding certification. Experience with Epic or Epic Ochin Experience handling Medicare and Medicaid claims Experience in Revenue Cycle Systems integration (i.e. electronic claim automation, claims scrubber integration, ERA/EFT enrollment & automation, etc...) Proficiency with Microsoft Office Suite; Microsoft Project Management #J-18808-Ljbffr