The Medical Accounts Receivable Billing Specialist is responsible for managing and resolving insurance and patient accounts receivable, ensuring accurate and timely billing, reimbursement, and collections.
This role reports to the Revenue Cycle Manager and supports the organization’s financial health by monitoring outstanding balances, communicating with patients and payers, and maintaining detailed documentation in accordance with organizational policies and healthcare regulations.
The position supports a recognized Hemophilia Treatment Center and serves patients with chronic and complex medical needs.
Requirements & Qualifications
Requirements
- Minimum of 2 years of hands-on experience in medical billing and accounts receivable, including claim follow-up, denials, appeals, and payment posting, with certification; or
- Minimum of 5 years of hands-on experience in medical billing and accounts receivable, including claim follow-up, denials, appeals, and payment handling in lieu of certification
- In-depth knowledge of medical terminology, CPT, ICD-10, and HCPS coding principles
- Proficiency with clearinghouses and payer portals
- Demonstrated success improving accounts receivable metrics such as reducing DSO and increasing first-pass yield
- Strong understanding of payer policies, guidelines, and regulations for commercial, government, and third-party payers
- Strong analytical, problem-solving, and written communication skills
- Ability to craft effective appeals with supporting documentation
- Prior experience with Microsoft Office, EHR, and practice management systems
- High degree of integrity, professionalism, and ethical conduct
- Commitment to patient confidentiality and HIPAA compliance
- Excellent written and verbal communication skills
- Associate degree or higher in business, finance, or healthcare-related studies preferred
- Active CPC, CPC-A, CPB, or CRCR certification preferred
- Prior EHR experience in NextGen, R2, Newleaf/Keycentrix, or related pharmacy billing software preferred
Location
Seattle, Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago