Billing Specialist Jobs in Washington
Billing Specialist jobs in Washington are in strong demand, with openings concentrated in healthcare systems, tech-adjacent corporate services, and public utilities across seniority levels from entry-level billing coordinator through senior billing analyst. The heaviest hiring is in Seattle, Bellevue, and Tacoma, where established employers like Providence Health and Services, Kaiser Permanente, and Microsoft maintain large finance and revenue cycle teams. Medical billing, insurance claims reconciliation, and EHR-based billing for outpatient and specialty practices are the most in-demand specialties in the state. Find a role that fits below and apply directly.
Find Billing Specialist JobsOverview
Showing 5 of 21+ Billing Specialist jobs
Please note: NSORNA Nisqually's Sex Offender Registration and Notification Act requires all individuals who have ever been convicted of a sex offense to register with our Public Safety Department. This is true whether or not you have to register with another jurisdiction.
This position has regular contact with or control over Indian Children and Vulnerable Adults. In compliance with Federal Law, this position will not be filled by an applicant with any felonious offense or any of two or more misdemeanor offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or offenses committed against children.
NATURE OF WORK:
Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information and resolution of a variety of problems with patients or private insurance carriers. Follows up on submitted claims and patient billing; resubmits claims or resolves billing problems.
DUTIES AND RESPONSIBILITIES:
- Processes insurance payer statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
- Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.
- May receive and receipt third party reimbursements; posts and reconciles payments.
- Balances daily batches and reports; prepares income reports including month end reports and statistics; distributes reports.
- Maintains patient demographic information and data collection systems to ensure patient eligibility and third party coverage; reviews information for accuracy and make necessary changes.
- Maintains files containing patient health information according to Tribal Policy; and ensures strict confidentiality of files containing patient health information and financial records.
- Reviews all client encounter forms and super bills from health care providers and other health program staff for services as assigned for accuracy and completeness.
- Enters patient information into Greenway/Integrity; determines proper CPT, ICD10 or other appropriate coding; then codes and enters data for visits, sessions or other billable program services.
- Batches and enters Patient Component Care (PCC) forms and makes appropriate adjustments; and prints claim forms for the PCC's on a daily basis.
- Tracks billing and scheduling information as necessary.
- Knowledge of tribal, state and federal patient privacy of information legislation.
- Maintain patient and billing records according to Tribal policy.
- Demonstrated ability to read and understand provider's handwritten narratives using detailed medical terminology asking for clarification when needed to correctly enter into the computer.
- Working knowledge of RPMS Computer Database systems.
- Knowledge of ICD 9 -CM/CPT coding system in order to correctly enter data including the ability to verify data input and correct errors.
- Knowledge of billing procedures, regulations and standards and ability to apply them to Medicare, Medicaid and/or other private insurance carriers.
- Knowledge of the organization and purpose of the documentation used to bill and collect.
- Ability to gather data, compile information, and prepare reports.
- Maintain courteous and effective relationship with patient/clients and the general public; and work with a diverse group of people.
- Ability to maintain confidentiality of patient records according to tribal and federal patient privacy of information legislation.
- Ability to maintain quality, safety and infection control standards.
- Ability to meet production standards.
- Ability to communicate effectively both orally and in writing.
- Experience working with Native American populations desired.
- High school diploma or GED and one-year clerical experience working in health care or in a position that requires an understanding of basic accounting principles.
- Must have a Medical Billing Specialist Certification.
- Valid WA State Driver's License and must be insurable under the Tribe's automobile insurance.
- Must be able to successfully pass a criminal history background check.
Please note: NSORNA Nisqually's Sex Offender Registration and Notification Act requires all individuals who have ever been convicted of a sex offense to register with our Public Safety Department. This is true whether or not you have to register with another jurisdiction.
This position has regular contact with or control over Indian Children and Vulnerable Adults. In compliance with Federal Law, this position will not be filled by an applicant with any felonious offense or any of two or more misdemeanor offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or offenses committed against children.
NATURE OF WORK:
Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information and resolution of a variety of problems with patients or private insurance carriers. Follows up on submitted claims and patient billing; resubmits claims or resolves billing problems.
DUTIES AND RESPONSIBILITIES:
- Processes insurance payer statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
- Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.
- May receive and receipt third party reimbursements; posts and reconciles payments.
- Balances daily batches and reports; prepares income reports including month end reports and statistics; distributes reports.
- Maintains patient demographic information and data collection systems to ensure patient eligibility and third party coverage; reviews information for accuracy and make necessary changes.
- Maintains files containing patient health information according to Tribal Policy; and ensures strict confidentiality of files containing patient health information and financial records.
- Reviews all client encounter forms and super bills from health care providers and other health program staff for services as assigned for accuracy and completeness.
- Enters patient information into Greenway/Integrity; determines proper CPT, ICD10 or other appropriate coding; then codes and enters data for visits, sessions or other billable program services.
- Batches and enters Patient Component Care (PCC) forms and makes appropriate adjustments; and prints claim forms for the PCC's on a daily basis.
- Tracks billing and scheduling information as necessary.
- Knowledge of tribal, state and federal patient privacy of information legislation.
- Maintain patient and billing records according to Tribal policy.
- Demonstrated ability to read and understand provider's handwritten narratives using detailed medical terminology asking for clarification when needed to correctly enter into the computer.
- Working knowledge of RPMS Computer Database systems.
- Knowledge of ICD 9 -CM/CPT coding system in order to correctly enter data including the ability to verify data input and correct errors.
- Knowledge of billing procedures, regulations and standards and ability to apply them to Medicare, Medicaid and/or other private insurance carriers.
- Knowledge of the organization and purpose of the documentation used to bill and collect.
- Ability to gather data, compile information, and prepare reports.
- Maintain courteous and effective relationship with patient/clients and the general public; and work with a diverse group of people.
- Ability to maintain confidentiality of patient records according to tribal and federal patient privacy of information legislation.
- Ability to maintain quality, safety and infection control standards.
- Ability to meet production standards.
- Ability to communicate effectively both orally and in writing.
- Experience working with Native American populations desired.
- High school diploma or GED and one-year clerical experience working in health care or in a position that requires an understanding of basic accounting principles.
- Must have a Medical Billing Specialist Certification.
- Valid WA State Driver's License and must be insurable under the Tribe's automobile insurance.
- Must be able to successfully pass a criminal history background check.
See All 21 Billing Specialist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
Find Billing Specialist JobsBilling Specialist Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Billing Specialist Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Washington Employers Look For
The qualifications that appear most often in billing specialist jobs across Washington.
- Proficiency with Electronic Health Record systems such as Epic or Cerner for medical billing
- Demonstrated experience in medical coding and CPT/ICD-10 code application
- Knowledge of Washington State Medicaid and Apple Health billing requirements
- Two or more years of accounts receivable or revenue cycle experience
- Certified Professional Biller or Certified Coding Specialist credential preferred
- Strong command of Excel and billing software such as Kareo or AdvancedMD
Billing Specialist Jobs in Washington: Frequently Asked Questions
How do you become a billing specialist in Washington?
Most employers in Washington hire billing specialists who hold a high school diploma or associate degree plus a nationally recognized billing credential such as the Certified Professional Biller from the American Academy of Professional Coders or a comparable certification from the American Health Information Management Association. Washington has no state-issued billing license, but employers heavily favor candidates who have completed medical billing coursework through a community college like Bellevue College or Shoreline Community College and have working knowledge of Apple Health, the state's Medicaid program.
Which companies hire billing specialists in Washington?
Employers hiring billing specialists in Washington right now include Sea Mar Community Health Centers, DSV, and Assurant, based on current listings on Migrate Mate as of September 2026. Washington's dense concentration of large hospital networks, regional health plans, and corporate headquarters creates consistent, year-round demand for billing professionals across multiple industries.
Which Washington cities have the most billing specialist jobs?
Spokane, Vancouver, and Tacoma have the most billing specialist openings in Washington. Seattle and Bellevue drive volume through their large hospital networks, regional insurance carriers, and tech-sector corporate finance teams, while Tacoma supports steady demand through MultiCare Health System and the area's growing outpatient and specialty clinic sector.
Are there remote billing specialist jobs in Washington?
Yes, and more than most fields. About 33% of billing specialist openings tied to Washington are remote or hybrid as of September 2026, reflecting the largely desk-based, software-driven nature of the work. Claims processing, insurance follow-up, and EHR-based charge entry are the billing functions most commonly performed fully remotely by Washington employers.
How can I get hired as a billing specialist in Washington with little or no experience?
The most realistic entry path is applying for a billing coordinator or patient account representative role at a large Washington health system, where on-the-job training is structured and common. Providence Health and Services and MultiCare Health System both run new-hire development programs that train candidates with limited billing backgrounds. Completing a medical billing certificate through Bellevue College or Renton Technical College and gaining familiarity with Epic strengthens any application, as does prior experience in front-desk medical reception or insurance customer service, two roles that frequently transition into billing.
Where can I find and apply to billing specialist jobs in Washington?
You can find and apply to billing specialist jobs in Washington on Migrate Mate, which lists current Washington openings from employers across healthcare, corporate services, and public agencies. Find roles that fit your experience and apply directly.
See All 21 Billing Specialist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
Find Billing Specialist Jobs