Billing Specialist - Portland, United States - Medasource

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    Full time
    Description
    *HME/DME Billing Specialist**6 month CTH**Remote or Onsite if local**Providence Health and Services*Responsibilities:Insurance Verification:
    Verifying insurance coverage for patients to ensure that the prescribed medical equipment is covered by their insurance plan.

    • Claims Processing: Submitting claims to insurance companies accurately and in a timely manner. This involves understanding billing codes (such as HCPCS, CPT, and ICD-10 codes) and ensuring that claims comply with insurance guidelines.
    • Documentation Review: Reviewing medical documentation to ensure that it supports the medical necessity of the prescribed equipment and meets insurance requirements.
    • Billing Inquiries: Handling inquiries from patients, healthcare providers, and insurance companies regarding billing issues, claim statuses, and reimbursement processes.
    • Payment Posting: Recording and reconciling payments received from insurance companies and patients, and updating patient accounts accordingly.
    • Appeals and

    Denials Management:
    Managing claim denials by insurance companies, identifying reasons for denials, and taking necessary steps to appeal denied claims.

    *Experience:* 1-2 years of hospital billing experience (plus if it is in DME or HME specifically)

    • 1-2 years of claims processing
    • 1-2 years of system use (or willingness to learn a new system)
    • Customer service experience is a plus
    Providence caregivers are not simply valued – they're invaluable.

    Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.

    Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Preferred States:
    WA, OR, CA, MN, NM, TX


    Job Type:
    Full-time


    Pay:
    $ $22.45 per hour


    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Vision insurance

    Work setting:

    • Hybrid work

    Experience:

    • Medical billing: 1 year (Required)
    * claims processing: 1 year (Required)

    • Customer service: 1 year (Required)

    Work Location:
    Hybrid remote in Portland, OR 97213