Billing Specialist III

Job Description

Job Description

Description:

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:

1. Serves as a subject-matter expert for the Billing staff to provide training and help resolve issues;
2. Develops training documents and provides training to new BestCare staff;
3. 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;
4. Primarily responsibility to provide revenue-cycle reporting;
5. Completes special projects as assigned;
6. May be required to perform billing functions of other Billing staff, as needed;
7. Other related duties as assigned.

ORGANIZATIONAL RESPONSIBILITIES:

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

  EDUCATION AND/OR EXPERIENCE:

• Associate’s degree in related field or HSD/GED and equivalent in related education/experience
• Minimum 4 years of experience with Epic software systems
• Minimum 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 Systems
• High 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 skills
• Understand 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