Medical Billing Specialist

Medical Billing Specialist

At Audigy, everyone contributes to a bigger mission: helping our members and their teams achieve their personal, professional, and financial goals through business success. We're passionate about unlocking potential in our members, in their teams, and in ourselves. Our success is built on empowering others to grow, thrive, and reach new heights. That's why we're committed to being an employer of choice a place where you can do great work with great people and make a real difference.

Culture We're looking for someone who's not just willing but excited to be part of a professional, people-first culture. As a member of the Billing Team, you'll embody the values we hold high: teamwork, resilience, and strategic thinking. You take pride in delivering exceptional work, love collaborating with others, and believe that when one of us wins, we all win. At Audigy, whether we're celebrating success or learning from challenges, we do it together.

As a Medical Billing Specialist, you will play a critical role in ensuring accurate and efficient billing processes for our members within the hearing care industry. Leveraging your strong attention to detail and at least three years of experience in billing for primary care or specialty medicine, you will be responsible for managing accounts receivable, investigating and resolving insurance claims, and supporting our commitment to outstanding customer service. You will collaborate with a dedicated team in a fast-paced environment and contribute to our mission of helping members achieve their goals.

This is a hybrid position that requires occasional in-office work. Candidates must reside in the greater Vancouver-Portland metropolitan area.

Performance objectives include:

• Extracts all information needed to complete daily billing process from patient records.
• Operates computer and uses various billing systems and software to transmit clean claims to third-party payers nationwide.
• Inputs data and transmits insurance claims accurately, either directly or through billing software.
• Follows up with insurance companies and ensures claims are paid/processed.
• Resubmits insurance claims that have received no response, are not on file, or have been denied.
• Works with other staff to follow up on accounts until zero balance.
• Answers routine inquiries related to claim status and account balance.
• Maintains required billing records, reports, and files.
• Answers telephone, documents call notes, and provides actionable and accurate billing information.
• Communicates effectively with practice staff and third-party payers regarding payment policies and financial obligations.
• Participates in educational activities and enhances knowledge and skills to keep up to date of current coding changes, fee schedules, and applicable state and federal programs as they relate to claim submission.
• Observes policies and procedures related to federal privacy regulations, health records, release of information, retention of records, and statute of limitations for claim submission.
• Maintains strict confidentiality, ethical conduct, and professional etiquette.
• Covers for other office functions as requested.
• Perform other related duties as directed or assigned.

Capabilities include:

• Demonstrated ability to work independently with minimal supervision, efficiently managing tasks and responsibilities.
• Outstanding written and verbal communication skills, with the capacity to convey complex information clearly to diverse audiences.
• Exceptional problem-solving skills, utilizing critical thinking to address challenges proactively and deliver effective solutions.
• Meticulous attention to detail, ensuring accuracy and thoroughness in all aspects of work.
• Maintain a positive professional attitude and ability to work well as part of a team.
• Ability to prioritize work and make decisions under pressure.
• Demonstrates a consistently positive and professional demeanor, fostering a collaborative and supportive team environment.
• Exhibits strong organizational skills with the ability to effectively prioritize tasks and make sound decisions in high-pressure situations.

Qualifications include:

• Minimum of three years of hands-on experience in medical insurance billing (required).
• Certification in Medical Insurance Billing, an associate degree, or a combination of equivalent work experience and ongoing education (required).
• Solid understanding of medical and insurance terminology (required).

Working environment includes:

• Hybrid work environment (work from home is permitted with occasional in-office days required, as needed).
• Full-time position working MondayFriday.

Physical demands include:

This position will spend long hours sitting and using office equipment and computers, which can cause muscle strain. This position will also have to do some lifting of supplies and materials from time to time.

Equal Opportunity Employer