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Housecall Providers www.housecallproviders.org Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations. Our Mission Improving lives by bringing health care home. Our Vision To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life. Our Values Compassion and respect, authentic relationships, collaboration, courage, social justice. Diversity Statement We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large. The quadruple aim is real at Housecall Providers In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system. Job Title Billing Specialist Department HCP-Primary Care Exemption Status Non-Exempt Requisition # 24563 Direct Reports N/A Manager Title SR Revenue Cycle and Financial Manager Pay & Benefits Estimated hiring range $46,540 - $56,880/year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a hybrid position with 1-2 days per month in the office Job Summary The Billing Specialist ensures that claims are billed accurately on a timely basis. This position ensures that appropriate follow-up and collection actions are taken to maintain a low percentage of accounts receivable (under 10%). This includes setting up patient financial arrangements as needed. The Billing Specialist also answers patient inquiries and works to resolve billing problems or escalates complex issues as needed. Essential Responsibilities Verify Contracted Insurance for Primary Care Patients, prior to admission, including verification we are listed as PCP for all contracts that require it. Follow up with patients whose insurance has changed to a non-contracted Insurance company, and with patients whose insurance has terminated. Enters diagnosis and procedure codes efficiently and accurately. Reviews and corrects denied claims and re-bill for payment and/or call insurance company as necessary to resolve the claim. Resolves billing questions when patient and/or family members call in - updates information accordingly as needed. Submits charges electronically to insurance companies and uploads electronic remittances routinely as directed by the Operations and Billing Manager. Responds to insurance payer requests for information in a prompt and professional manner. Ensures final statements are going to a POA, guardian or guarantor for deceased patients, so that final billing can be paid; contacts probate if needed to see if patients have estates. Verifies addresses on all returned mail. Performs audits on patient a