Billing/Follow-up Specialist - Professional Billing (PB)

Summary

PeaceHealth is a mission-driven healthcare organization. The Billing/Follow-Up Specialist investigates outstanding professional billing accounts, communicates with insurers and patients, resolves claim issues, and supports accurate reimbursement and billing workflow improvements.

Responsibilities

• Review outstanding accounts and prioritize follow-up activities
• Contact insurance carriers regarding unpaid, delayed, or denied claims
• Research claim denials and determine the root cause of payment delays
• Resolve billing issues and identify the best path toward claim payment
• Partner with patients, insurance representatives, coding teams, and internal stakeholders to obtain needed information
• Document account activity thoroughly and accurately
• Submit appeals and supporting documentation when appropriate
• Monitor assigned work queues and maintain productivity expectations
• Identify recurring trends and opportunities for process improvement
• Help support workflow enhancements and operational efficiencies within Professional Billing
• Communicate professionally and effectively with patients, payors, and colleagues
• Maintain compliance with payer guidelines, contracts, and organizational policies
• Perform other duties as assigned

Skills

• Candidates must reside and perform work within Oregon, Washington or Alaska
• High School Diploma or equivalent required
• Two (2) years of billing, insurance follow-up, revenue cycle, or related healthcare financial experience required
• Formal medical billing coursework or training from an accredited program may be considered in lieu of experience
• Strong critical thinking and problem-solving skills
• Excellent written and verbal communication skills
• Exceptional attention to detail
• Ability to work independently with minimal supervision
• Self-motivated and driven to meet goals
• Strong collaboration skills and willingness to share knowledge with teammates
• Effective time management and organizational skills
• Knowledge of insurance billing processes and reimbursement guidelines
• Medical terminology experience
• Primarily remote office environment
• Regular use of computers and standard office equipment
• Sedentary work
• Ability to communicate and exchange accurate information
• Close visual acuity required for reviewing accounts, documentation, and electronic records
• For full consideration of your skills and abilities, please attach a current resume with your application
• This is a remote position. If selected, candidates must reside and perform work within Oregon, Washington, or Alaska, and must be located within a one-hour drive of a main PeaceHealth hospital facility
• Associate Degree preferred
• Additional experience that may help you succeed includes Epic experience, previous professional billing follow-up work, understanding Explanation of Benefits (EOBs), denials management, payment delays, or prior PeaceHealth experience

Qualifications

Must Haves

• Candidates must reside and perform work within Oregon, Washington or Alaska
• High School Diploma or equivalent required
• Two (2) years of billing, insurance follow-up, revenue cycle, or related healthcare financial experience required
• Formal medical billing coursework or training from an accredited program may be considered in lieu of experience
• Strong critical thinking and problem-solving skills
• Excellent written and verbal communication skills
• Exceptional attention to detail
• Ability to work independently with minimal supervision
• Self-motivated and driven to meet goals
• Strong collaboration skills and willingness to share knowledge with teammates
• Effective time management and organizational skills
• Knowledge of insurance billing processes and reimbursement guidelines
• Medical terminology experience
• Primarily remote office environment
• Regular use of computers and standard office equipment
• Sedentary work
• Ability to communicate and exchange accurate information
• Close visual acuity required for reviewing accounts, documentation, and electronic records
• For full consideration of your skills and abilities, please attach a current resume with your application
• This is a remote position. If selected, candidates must reside and perform work within Oregon, Washington, or Alaska, and must be located within a one-hour drive of a main PeaceHealth hospital facility

Nice to Haves

• Associate Degree preferred
• Additional experience that may help you succeed includes Epic experience, previous professional billing follow-up work, understanding Explanation of Benefits (EOBs), denials management, payment delays, or prior PeaceHealth experience

Benefits

• Medical, dental, and vision coverage
• PeaceHealth retirement plan with employer contributions and matching opportunities
• Generous paid time off (PTO)
• Employer-paid life and disability insurance
• Tuition reimbursement and continuing education support
• Wellness resources and programs
• Expanded Employee Assistance Program (EAP) and mental health benefits
• Flexible remote work environment