PHYSICIAN BILLER - BILLING DEPARTMENT

Northwest Specialty Hospital is seeking a detail-oriented Physician Biller to join our Post Falls Billing Team!

We need someone with a professional demeanor, can work well under stress/stress situations, will provide great customer service, and can multitask!

Under general supervision of Business Office Director, the Physician Biller is responsible for timely submission of claims to insurance companies from a wide variety of medical providers and NWSH, as well as monitoring and ensuring payments for medical services are received in a timely manner. The Physician Biller may also function as an intermediary between healthcare providers, patients and health insurance companies.

Essential Functions

• Reviews patient bills for accuracy and completeness; obtains missing information.
• Knowledge of all insurance classes, especially Medicare and Medicaid, rules and guidelines.
• Working knowledge of CPT, HCPC and ICD10.
• Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances.
• Process claims as they are paid and credit accounts accordingly.
• Review insurance payments for accuracy and compliance with contract discounts.
• Review denials or partially paid claims and work with the involved parties to resolve the discrepancy.
• Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment.
• Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment.
• Consult Director, team lead, team members and appropriate resources to solve billing and collection questions and issues.
• Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor.
• Prepare reports and forms as directed and in accordance with established policies.
• Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of confidential documents; and basic Internet and email utilization.
• Provide excellent and professional customer service to internal and external customers.
• Function as contributing team member while meeting deadlines and productivity standards.
  
  

Qualifications And Preferred Experience

• High school diploma or equivalent
• Minimum 3 years’ hospital billing experience with physician clinic billing experience preferred
• Billing certifications from AAHAM, AAPC recommended
• Proficiency in Meditech preferred
  
  

About Northwest Specialty Hospital

Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what’s best for patients. Northwest Specialty Hospital includes 8 operating rooms and 32 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties.

Northwest Specialty Hospital has earned numerous awards for patient care, surgical skill, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven consecutive years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient focused approach, and robust benefits package!

Some of our amazing perks and benefits offered to employees are:

• Company-sponsored events such as sporting events, BBQs and holiday parties
• Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance
• Tuition reimbursement
• Growth opportunities, ongoing education, training, leadership courses
• A generous 401K retirement plan
• A variety of discounts throughout the hospital and community are available to employees
• Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships
• Culture that promotes and supports work/life balance
• Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.**