Billing Analyst Jobs in Washington

Summary

Position Summary

We are seeking a qualified Billing Analyst to be responsible for reviewing individual charges and processing claims and denials to maximize patient revenue. The position requires working knowledge of local, state and federal billing requirements, including third party payers. The incumbent must have experience using an automated patient management system, including billing and practice management systems.

As the Billing Analyst, you will be responsible for processing denials and claims in the Epic Resolute (Billing System). The incumbent will work in billing Workqueues in Epic at an independent pace. The work environment is fast-paced and flexible.

Background

The work environment is fast paced and flexible. Our Team is a close-knit group that works together in troubleshooting claims and denials in Epic Resolute. Opportunity to work with a fun and positive team and provide healthcare services to the most vulnerable populations. We are seeking a self-motivator that is a quick learner and loves a new challenge.

The Business and Revenue Unit (BRU) does billing in Epic Resolute and provides training/support of the Epic Practice Management system to 13 main clinic locations throughout King County, including 3 School Based Health Centers, some satellite clinics and mobile units. We do the billing across multiple divisions - Community Health Services, Prevention and soon will be expanding to include billing for services for JHS and DAJD under the Reentry Demonstration Initiative.

Our unit is responsible for maintaining the Epic Resolute (billing) system, enrolling billable providers in contracted health plans, reviewing individual charges, and processing claims and denials to maximize patient revenue. We also provide Epic Practice Management training and support for the front desk staff at the public health clinics.

Note: This posting will create a list of qualified candidates that may be considered for selection of additional vacancies of the same position type over the next 6 months.

Commitment To Equity and Social Justice

Named after Dr. Martin Luther King, Jr., one of the most influential civil rights leaders in our nation's history, King County is a vibrant international community with residents that represent countries from around the world. It is a region with increasing diversity that cherishes the traditions of many cultures.

The county government has a deep commitment to equity and social justice and advancing practices, strategies, and policies that promote fairness, justice, and opportunity for all – in our workplaces and our communities. With this commitment, King County has adopted a pro-equity agenda to advance regional change and ensure that residents from all communities are incorporated into our emergency planning and public outreach efforts.

We recognize that structural racism consists of principles and practices that cause and justify an inequitable distribution of rights, opportunities, and experiences across racial groups. Since declaring Racism is a Public Health Crisis in June 2020, King County and Public Health committed to being intentionally anti-racist and accountable to Black, Indigenous and People of Color communities.

To learn more, please visit http://www.kingcounty.gov/elected/executive/equity-social-justice.aspx

Work Schedule

Monday through Friday, 8:00 am to 5:00 pm, 40 hours per week, FLSA Non-Exempt (overtime eligible).

Work Location

Chinook Building, located at 401 5th Ave Seattle, WA 98104.

Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.

Remote and Onsite Work

The BRU team works in a hybrid model, with days in the office as well as telecommuting. The ratio of remote to onsite work will be dependent on business needs and is subject to change. The primary onsite location is the Chinook Building.

Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.

King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will join an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment. Employees will be provided with a County-issued laptop and must maintain a home workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours.

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.

Experience, Qualifications, Knowledge, Skills

Our ideal candidate will demonstrate the following (Minimum):

• Demonstrated working experience with healthcare insurance billing
• Demonstrated working 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 principles
• Skilled in working under constant time constraints and meeting deadlines
• Excellent verbal and written communication skills

The most competitive applicants will have the following experiences and qualifications (Desired):

• 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

Supplemental Information

Forbes named King County as one of Washington State's best employers.

Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.

Guided by our "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans. King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

To Apply

If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.

Who May Apply

This position is open to all qualified applicants.

The following items are required to be considered for this vacancy:

• NEOGOV Job Application (The responses on your job application should be thorough and complete and will be used in the screening process)
• Supplemental Questions (The responses to the supplemental questions should be thorough and complete and will be used in the screening process)

(Please note: Cover letters, resumes, and additional attachments will not be reviewed as part of the evaluation process if not outlined as a required application material as outlined above).

Your application may be rejected as incomplete if you do not include the relevant information in the application. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state "see my resume" or "see my personnel file" are considered incomplete and will not be accepted.

Necessary Special Requirements

• The selection process may include evaluation of application materials and supplemental questions, interviewing, and testing. 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, but findings may not necessarily disqualify an applicant for employment.
• 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.
• Public Health relies on office automation (Microsoft Office) and web-based enabled tools, therefore candidates must be proficient and comfortable with computer use to perform functions associated with ongoing work.
• 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.
• When Public Health responds to an emergency, and in accordance with relevant CBA language and/or KC policy and procedures, we may assign duties outside your regular job description. This may involve responding at any time, including nights and weekends, with possible deployment to locations other than the department.
• If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact your recruiter listed on this job announcement.

Union Membership

represented by PROTEC17

Contact

For questions about the application process, contact the Recruiter