Billing Analyst bei King County, WA
King County, WA · Seattle, Vereinigte Staaten Von Amerika · Hybrid
- Professional
- Optionales Büro in Seattle
About the Department
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.
Background
The Billing Analyst position is part of the Business and Revenue Unit that 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. Our unit is responsible for reviewing individual charges and processing claims in and denials in the Epic Resolute billing system to maximize patient revenue. We also provide Epic Practice Management training and support for the front desk staff at the public health clinics.
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.
Temporary opportunity. Term-Limited Temporary positions are "at-will" positions but are eligible for benefits. This TLT is currently anticipated to last one year. However, funding sources for this work remain uncertain and dependent upon decisions actively being made at both the federal and local levels. As a result, the end date of this position may be adjusted based on those decisions. The County and the Department continue to work to secure long term funding sources.
This vacancy can also be filled as a Special Duty opportunity. For Special Duty Assignment interest, you must be a Career Service, Career Service Exempt or other regular (non-temporary) employee in King County who has completed their initial County probation. You must have supervisor approval prior to taking a Special Duty Assignment.
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. This position is Non-Exempt and eligible for overtime.
Work Location
The work associated with this position will be performed through a combination of remote and onsite work. The successful candidate may be expected to report to the office for onsite work typically 2 times per week. The frequency of onsite work may vary based on business or operational needs and be adjusted accordingly. The primary onsite location is the 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.
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.
Position 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
Minimum Qualifications
Our ideal candidate will demonstrate the following (Minimum):
- Demonstrated experience of healthcare insurance billing
- Demonstrated 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
- 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
Other Qualifications
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.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.
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)
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.
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
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 on-going 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
Catherine Fitzpatrick, Sr. HR Analyst at catherine.fitzpatrick@kingcounty,gov
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