Job Description

Pacific Northwest Fertility & IVF Specialists, a state-of-the-art clinic offering a wide variety of treatments ranging from basic care to the most advanced fertility technologies, is looking for a full-time Billing Specialist to join our team at our Seattle location. This position is an integral part of our patient care model and vital to helping us create a positive experience for each individual. The Billing Specialist position is responsible for a variety of revenue cycle duties, including but not limited to charge entry, payment posting and patient AR. This position requires strong attention to detail, proficiency with billing software, and an understanding of medical coding, billing and payment practices. Responsibilities and Duties – Charge Entry Input accurate patient charges into billing system, including procedures, treatment cycles, services and diagnostic codes, within three business days from the date of service. Review charges, diagnosis codes, appointments, and clinical documentation for completeness and accuracy to ensure proper billing. Work closely with billing team, financial coordinators and clinical providers to resolve discrepancies and clarify charge-related issues. Promptly inform financial counselors and/or authorization team of any necessary changes to authorization, or missing authorizations. Identity and address billing errors or discrepancies, working to correct any issues that may impact patients or billing processes. Distribute prepaid payments to open invoices at time of charge entry. Run the required encounter, appointment and embryology reports to make sure that all charges are captured for the month. Reviewing all rejected claims on a daily basis and updating to ensure proper and timely billing. Review secondary and unbilled reports to ensure that all charges are captured and billed in a timely manner. Provide procedure team with demographic sheets of any procedure requiring anesthesia; fill out form for third party vendor. Submit anesthesia billing details to anesthesia group daily. When requested, assist with making necessary changes to transactions to balance. Ensure all charges for the month are posted prior to month end close. Make appropriate encounter and billing notes on balances that are transferred to patient. Collaborate with department leadership to address unexpected payment discrepancies, denials or adjustments. Respond to inquiries from Financial Counselors on behalf of patients regarding any billing or payment questions. Collaborate with department leadership to identify opportunities to streamline charge posting processes. Other duties as assigned. Responsibilities and Duties – Payment Posting Ensure all charges and insurance payments received for the month are posted prior to month end close, including VCC’s, $0 pays, check payments, ERA’s. Utilize insurance portals to pull payment remittance advice and ensure payments received are posted accordingly. Follow-up on any denials, reviewing for claim corrections and/or appeals, if appropriate. Accurately enter insurance payments and adjustments into the billing system, ensuring that all transactions are recorded properly. Accurately entering all zero payments into the billing system. Review and reconcile payments against billing system to identify discrepancies and resolve issues. Collaborate with department leadership to identify opportunities to streamline payment posting processes. Post patient credit card and check payments. Other duties as assigned. Position Requirements Working experience of at least two (2) years of billing experience in a medical office setting (Fertility Specialty Preferred). Ability to communicate effectively, accurately and concisely. Ability to work independently and collaboratively in a fast-paced environment. Ability to effectively manage multiple tasks with competing priorities within tight timelines. Knowledge of 10 codes and CPT coding guidelines Familiarity with medical insurance terminology and third-party payer reimbursement policies and procedures. Experience using payor portals and reading EOB’s. Strong technical aptitude to not only operate standard office equipment but also relevant software such as Microsoft Word, Excel, Outlook, EMR & Practice Management Systems and other applications. We offer a competitive salary with opportunities for growth and advancement. If interested, please use the Apply Now link to upload your resume. We look forward to hearing from you. PNWF is dedicated to creating an inclusive work environment for everyone. We embrace and celebrate the unique experiences, perspectives, and cultural backgrounds that each employee and patients bring to our workplace. Job Type: Full-time Pay: $24.00 - $26.00 per hour Expected hours: 40 per week Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Retirement plan Tuition reimbursement Vision insurance Education: Associate (Preferred) Experience: Medical Billing: 2 years (Preferred) Work Location: In person #J-18808-Ljbffr Pacific Northwest Fertility & IVF Specialists

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