PB BILLING SPECIALIST (REMOTE) - NV or CA Experience Preferred

MAKE A DIFFERENCE AT OCHIN

OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.

OCHIN provides leading-edge technology, data analytics, research, and support services to nearly 1,000 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structural inequities.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture of belonging.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,000 diverse professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and equitable opportunity for professional advancement. We are curious, collaborative learners who strive to live our values everyday: Learning, Heart, Belonging, and Impact. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview

The Billing Specialist is responsible for providing high quality billing services to one of more OCHIN Billing Services (OBS) member clinics. The Billing Specialist will primarily focus on payor follow-up and denial management, recognize potential high-risk accounts, and develop techniques to improve collections and streamline processes.

The OBS team member will discuss difficult or unique collection problems with the Billing Supervisor, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor.

This position will enhance the billing department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

Essential Duties

• Provide efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement and support OCHIN revenue cycle performance indicators for financial health.
• Accurately bill Medicare, Medicaid, self-pay/uninsured, and commercial insurance, processing claims in accordance with payer requirements and organization policy.
• Assist with the collection of receivables by monitoring accounts receivables, checking claim status and resubmitting claims of overdue accounts, filing corrected claims or appeals and alerting supervisor of seriously overdue accounts and trends.
• Post patient payments, electronic remits, and paper explanation of benefits (EOBs).
• Correct claim and charge errors.
• Thoroughly research and resolve credit balances.
• Answer phone calls from patients and responsible parties regarding account balances and/or other matters. Provide compassionate and empathetic customer service.
• Perform other specific projects related to billing, data entry, and computer operations as required
• Perform registration updates in Epic.
• Maintain complete and accurate billing and accounts receivable records.
• Send correspondence to member clinic/Client in accordance with their policies and procedures
• Establish and maintain positive working relationships with patients, payers, team members, clients, and other stakeholders. Maintain confidentiality of patient information, organization data and information always in compliance with HIPAA regulations.
• Continuously improve understanding of collection processes and strategies by working with colleagues within OBS and OCHIN Collaborative.
• Other duties as assigned

• 1 year of progressive experience in similar or relevant role preferred. 2 years of applicable experience desired.
• Minimum of a high school diploma or GED is required. Some higher education is preferred.
• For PB billing focused positions, previous FQHC/RHC experience is preferred
• For HB billing focused positions, Critical Access Hospital or Method 2 Billing experience preferred.
• Knowledge of Medical Terminology is preferred in this role.
• EPIC experience is preferred.
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, legal requirements knowledge.
• Qualifications for HB Billing Specialist include:
• Experience with Acute Care EHR software, EPIC, is required, specifically expertise in HB Resolute module.
• Experience with HB Claims, Prelude, Cadence and EpicCare modules preferred

Base Pay Overview

The typical offer range for this role is minimum to midpoint ($21.86-$26.23), with the midpoint representing the average pay in a national market scope for this position. Please keep in mind that the range advertised represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will consider a wide range of factors directly relevant to this position, including, but not limited to, skills, knowledge, training, responsibility, and experience, as well as internal equity and alignment with market data.

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees—including remote employees, contractors, interns, and new hires—to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work from home requirements are:

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace

We offer a comprehensive range of benefits. See our website for details: https://ochin.org/employment-openings

Equal Opportunity Statement

OCHIN is an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

As an equal opportunity and affirmative action employer, OCHIN does not discriminate on the basis of race, ethnicity, sex, gender identity or expression, sexual orientation, religion, marital or civil union status, parental status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

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