JOB SUMMARY:

The Billing Specialist III serves as a primary contact/resource for all aspects of the revenue cycle, provides training to new employees and BestCare staff including “shoulder-to-shoulder” training, completes special project work and reporting as needed.

ESSENTIAL FUNCTIONS:

1. Serves as a subject-matter expert for the Billing staff to provide training and help resolve issues;
2. Develops training documents and provides training to new BestCare staff;
3. Serves as a primary contact and resource for all BestCare sites on all aspects of the revenue cycle, including coding, billing, and documentation best practices;
4. Primarily responsibility to provide revenue-cycle reporting;
5. Completes special projects as assigned;
6. May be required to perform billing functions of other Billing staff, as needed;
7. Other related duties as assigned.

ORGANIZATIONAL RESPONSIBILITIES:

1. Performs work in alignment with the BestCare’s mission, vision, values;
2. Supports the organization’s commitment to equity, diversity, and inclusion by fostering a culture of open-mindedness, cultural awareness, compassion, and respect for all individuals;
3. Strives to meet annual Program/Department goals and supports the organization’s strategic goals;
4. Adheres to the organization’s Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards;
5. Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes;
6. Attends required program/staff meetings and completes assigned training timely and satisfactorily;
7. Ensures that any required certifications and/or licenses are kept current and renewed timely;
8. Works independently as well as participates as a positive, collaborative team member;
9. Performs other organizational duties as needed.

QUALIFICATIONS:

EDUCATION AND/OR EXPERIENCE

• High School Diploma (or equivalent)
• Minimum 4 years of experience with Epic software systems
• Minimum 4 years of experience with revenue cycle billing

LICENSES AND CERTIFICATIONS:

• Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization’s auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations)

PREFERRED:

• Coding certification required or commitment to obtain within one (1) year
• Bilingual in English/Spanish a plus

REQUIRED COMPETENCIES:  

Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period:

• Proficiency in Epic Software Systems
• High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software;
• Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), familiarity with CMS billing rules and associated billing requirements;
• Strong interpersonal and customer service skills;
• Strong communication skills (oral and written);
• Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through;
• Excellent time management skills with a proven ability to meet deadlines;
• Critical thinking skills
• Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes;
• Ability to build and maintain positive relationships;
• Ability to function well and use good judgment in a high-paced and at times stressful environment;
• Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;
• Ability to work effectively and respectfully in a diverse, multi-cultural environment;
• Ability to work independently as well as participating as a positive, collaborative team member.

TOOLS AND EQUIPMENT USED:

 Computer/laptop, copy/fax/scanning machines, printer, telephone or multi-line phone.

WORK ENVIRONMENT/PHYSICAL DEMANDS:

Hybrid position with mostly remote work (in Oregon) and some in-person required.  The work environment is respectful, multi-cultural and inclusive, and the characteristics described above are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The position requires the employee to dress in a manner that meets the standards for professional attire at Best Care or per department-or job-specific requirements (See Dress Code Policy in Employee Handbook).  Other conditions/demands include:

• Primarily indoors (95%)
• Prolonged periods sitting at a desk and working on a computer/laptop, with occasional standing and walking
• Exerts force or lifts/carries up to 10-20 pounds at times
• Pushes/pulls 50-75 pounds occasionally
• Continuous use of arms, wrists, hands to perform repetitive tasks/motions
• Occasional grasping/squeezing and reaching above or below shoulder-level
• Must be able to hear alarms/telephone/audio/normal speaking voice
• Must have clarity of vision:  Near (<20”); Mid (>20” to < 20’); Far (> 20’)
• Must be able to drive motor vehicle to perform job
• May be exposed to communicable disease