Job Description

Medical Insurance Billing Specialist – General & Specialty Cardiology

Cardiac Study Center/Pulse Heart Institute, Tacoma WA  

The Organization  

Since its creation, Cardiac Study Center (CSC) has contracted with Pulse Heart Institute for outpatient cardiology and billing services. CSC is a proud partner of Pulse and has provided outpatient cardiology services in the Puget Sound Region for over 50 years. CSC partnered with MultiCare Health System to create Pulse Heart Institute in 2016 to work toward improving the health of cardiac patients. 

Joining our team as a Medical Billing Specialist offers a dynamic opportunity to develop your expertise in medical billing within a supportive and collaborative environment. You will be integral to our mission of providing exceptional healthcare by ensuring that billing processes are seamless and financially sound. We value your skills and dedication, providing continuous opportunities for professional growth and development in the complexities of healthcare finance. With your help, we ensure that our billing practices meet the highest standards of accuracy and efficiency, directly impacting our ability to deliver superior patient care. 

Environment and Shift Details  

This role is full-time, Monday – Friday—closed weekends and holidays. 

Medical Billing Specialist Qualifications 

• Education : High School Diploma or general education degree (GED) 

• Experience : 1 year of experience in healthcare & 1 year of experience processing health insurance claims. - required  

• Knowledge of CMS1500, COB, PHI, and other essential medical terminology. 

• Strong communication skills for effective interaction with clients and staff. 

• Excellent organizational abilities, including proficient time management and multitasking. 

• Detail-oriented with a commitment to accuracy and thoroughness. 

• Ability to collaborate effectively within a team environment. 

• Experienced in using insurance websites for eligibility verification and checking claim statuses. 

Medical Billing Specialist Position Summary 

As a Medical Billing Specialist at our healthcare facility, you will play a crucial role in managing the financial flow and ensuring the accuracy of billing operations. This position involves direct communication with insurance companies to manage claims, appeals, and denials, along with thorough tracking and reporting on outstanding claims and insurance patterns. You will be responsible for maintaining compliance with HIPAA guidelines while handling sensitive patient information and contributing to the efficiency of our business office through meticulous documentation and account management. 

Medical Billing Specialist Responsibilities 

• Conduct regular phone calls to insurance companies to check claim status, reprocess claims, and file appeals. 

• Efficiently manage daily tasks and workload, focusing on high-priority billing activities. 

• Review and analyze aging reports to track and resolve outstanding claims. 

• Identify patterns in insurance denials and report these trends to enhance billing processes. 

• Maintain compliance with HIPAA guidelines while providing claim information to insurance companies and other authorized parties. 

• Participate in phone rotations for the business office, addressing inquiries from patients, outside facilities, and practices. 

• Thoroughly review insurance denials, coordinate with relevant staff for follow-up, ensure accurate payment postings and balance allocations, and document all account activities promptly. 

• Adjust claims according to established procedures and prepare, audit, and submit billing documents to primary and secondary payers. 

Cardiac Study Center/ Pulse Heart Institute – Your New Work Home  

Joining our cardiology outpatient clinic means joining a team where compassion, integrity, and a commitment to sustainability guide our every action. Here, you'll find a community deeply rooted in empathy and respect, where every staff member, from registered nurses to medical assistants, is valued for their unique contributions. 

Our environment fosters a profound sense of belonging and support, which is crucial in the high-stakes world of cardiac care. With integrity at the core of our practice, we ensure that our patients' ethical considerations and well-being govern every decision. Our dedication to sustainable healthcare practices also reflects our responsibility towards our patients and the broader environment, emphasizing the importance of long-term wellness and care. At our clinic, you're not just joining a workforce; you're aligning with a family committed to excellence in cardiac health, making a meaningful difference in the lives of the communities we serve. 

Pay and Benefit Expectations  

Cardiac Study Center/Pulse Heart Institute provides a comprehensive benefits package, including competitive salary, medical, dental, and retirement benefits, and paid time off. As various pay transparency laws require, CSC/PHI shares a competitive compensation range for candidates hired into each position. The starting pay for this position is $20.70 , and the pay scale is $20.70 - $37.55 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. 

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