Billing Analyst - Department of Health Services - Public Health

LOCATION: Seattle, WA

CLOSING DATE: August 22, 2020

OPPORTUNITY TYPE: Job

JOB #: 16128

POSTED: July 22, 2020

Description:

Job Duties

  • Assist with interpretation of private, state and federal billing requirements to assure compliance and optimal revenue, including the Centers for Medicare and Medicaid Services, the Washington State Health Care Authority and contracted managed care organizations.
  • Coordinate third party payer billing requirements with Public Health staff including clinical, program and business practices staff.
  • Assist with coding for proper billing and reimbursement.  Coordinate coding issues with certified coder. 
  • Review charges for billing compliance and accurate data collection. Provides recommendations to ensure billing/revenue requirements are met in an electronic (EHR) environment.
  • Provide analyses/recommendations to Public Health Centers and/or providers to ensure billable encounters and billing requirements are met.
  • Process charges and claims for billing to maximize patient generated revenue.
  • Monitor accounts receivable and resolve aging accounts
  • Analyze, research and resolve outstanding and/or denied claims.
  • Analyze, research and resolve guarantor and pended claims
  • Assist with developing reports to perform duties. Identify problems, inform program managers of related trends, and provide recommendations to applicable staff. 

 

Experience, Qualifications, Knowledge, Skills

 

 Supplemental Information

 

  • You must completely fill out the application with your relevant education and work experience.
  • The selected candidate must be able to pass a thorough background investigation 
  • For more information on our selection process, please refer to www.kingcounty.gov/depts/health/jobs/hiring. For tips on interviewing, please visit https://www.kingcounty.gov/~/media/audience/employees/learning-and-development/Interview_Tips.ashx?la=en. 
  • Employees are required to protect the privacy and security of protected health information as defined in State and Federal Law.
  • Employees are required to adhere to OSHA/WISHA guidelines including but not limited to completing their mandatory trainings on time and obtaining required immunizations.
  • Regular and reliable attendance, effective communication skills, and development of effective working relationships are requirements of all Public Health positions.
  • Staff may be required to play an active role in the event of a public health emergency, which may include changes in responsibilities and working hours.
  • If you need a disability accommodation in the application or testing process, please call the contact number listed on the job announcement.

 
Union Membership: This position is represented by Protec 17 labor union. 

 

Skills/Eligibility:

Experience, Qualifications, Knowledge, Skills

Successful candidates will demonstrate the following at minimum: 

  • Demonstrated experience of healthcare insurance billing
  • Demonstrated knowledge of Federal and State laws governing insurance billing
  • Demonstrated experience gathering, researching and analyzing data
  • Demonstrated problem – solving skills
  • Demonstrated experience with insurance verification systems
  • Demonstrated experience with automated systems and software applications
  • Knowledge of basic accounting principals
  • Skilled in working under constant time constraints and meeting deadlines
  • Excellent verbal and written communication skills


The most competitive applicants will also have the following desired experiences and qualifications:

  • Demonstrated knowledge of Washington state Medicaid programs and billing requirements
  • Demonstrated knowledge of Washington state Medicaid client eligibility and benefit packages
  • Demonstrated knowledge of Federally Qualified Health Center billing requirements
  • Knowledge of CPT, ICD, and CDT codes
  • Demonstrated experience with Epic Prelude and Resolute

 

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