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Audiology Office Manager-Billing Specialist

Pacific University achieves excellence and distinction by investing in exceptional people to think, care, create, and pursue justice in our world. We embrace discovery in a close and nurturing environment that leads to genuine transformation. Our community is diverse, sustainable, and dedicated to discovery and excellence in teaching, scholarship, and practice.

At Pacific University, we thrive in an extraordinary environment, surrounded by the beauty of the great Pacific Northwest, with campus locations in Forest Grove and Hillsboro. We humbly acknowledge and thank the original caretakers of the lands on which we live, work, teach, and acquire and share knowledge.

GENERAL DESCRIPTION OF POSITION:

The Office Manager is responsible for supervision of the clinic front office staff and the financial and business office operations at Pacific EarClinic. As the Billing Specialist, they will be responsible for insurance verifications for all patients, medical billing, maintenance of billing workflows, account monitoring, and coding of invoices for Accounts Payable. The position supports the mission of Pacific University and Pacific EarClinic and the School of Audiology by providing exemplary support for front office operations, insurance, billing, and related functions, all of which are essential for the effective management of the school’s clinical services. This is a full-time, in person staff position reporting to Chief Clinic Operations Officer.

ESSENTIAL FUNCTIONS/MAJOR RESPONSIBILITIES:

Provides on-site supervision, scheduling, and training of clinic front office staff and actively engages in routine business operations at the center.
In collaboration and direction from the Healthcare Operations Billing Manager, is responsible for the posting of charges and payments and assuring all billing processes are accurate and timely.
Is responsible for accuracy and completion of all aspects of billing for the PEC and development of training for others involved in the process.
Collects patient balances at time of service and contacts patients if their account becomes delinquent. Works with Financial Counselor to successfully set up payment plans.
Is responsible for preparing and submitting electronic or paper claims to insurance companies and other payers.
Checks and verifies patients’ insurance benefits. Evaluates and processes explanation of benefits. Trains other involved in the process. Effectively communicates financial obligations to patients and clinical providers at time of service
Works closely with insurance companies to resolve outstanding issues and secure payment on unpaid or denied claims.
Works with the centralized billing team to ensure posting of electronic remittance advances (ERAs).
Provides follow-up to patients and insurance companies regarding payment and billing issues. Answers billing questions from patients, audiologists, and other individuals.
Ability to review and analyze patient medical records and documentation to ensure that clinician notes, results, and reporting is exact and relevant for the selected ICD-10 codes and HCPCS.
Ensure coding compliance with all applicable regulations and guidelines, including HIPAA, Medicare, and Medicaid.
Maintain accurate and organized billing and coding records per HIPAA guidelines for storage and disposal of patient information
Participates in regular training and education sessions to maintain professional competency.
Works cooperatively with the Clinic Director, course instructors, and attending doctors on duty and the Director of the School of Audiology to coordinate balanced educational experiences for students in the clinic. Performs all duties in a manner that contributes to the overall professional appearance and atmosphere of the center.
Works closely with the Clinic Director to maintain efficient, positive, and compliant office operations.
Oversees timely preparation and distribution of correspondence. Typical correspondence may include: letters, billing statements, patient reports, referral information, acknowledgement of referrals, and managed care documents.
Maintains confidentiality of protected health information and protected student educational information per HIPAA, FERPA, and other related rules and regulations.

SECONDARY FUNCTIONS:

Performs other related duties as assigned.

JOB SCOPE:

Performs duties independently with minimal supervision, in coordination with healthcare system. Decisions are made within general university policy constraints but can require independent decision making. Errors could affect the smooth and efficient operation of the office.

SUPERVISOR RESPONSIBILITY:

Full supervisory responsibility for front office staff to include hiring, conducting evaluation, disciplinary process, goal setting, training and coaching for improvements.

EDUCATION AND/OR EXPERIENCE:

High school diploma required. Bachelor’s degree preferred or equivalent work experience.
Previous experience working in a health care facility with an emphasis in clinic management and minimum 2 years medical insurance billing. Experience in audiology preferred, but not required.
Strong word processing and database management skills. Working knowledge of computers, standard office equipment and EHR (electronic health record systems).
Ability to maintain accuracy in numerous detailed record-keeping tasks through automated systems.
Billing and Coding certifications preferred.
Bilingual – English and Spanish –preferred.

REQUIRED KNOWLEDGE, SKILLS, ABILITIES & BEHAVIORS:

Communicates effectively with students, faculty, staff and the public appropriate to the age of the individual served.
Builds on basic learning and carries it from one situation to another.
Demonstrates critical thinking skills in problem solving and decision-making.
Asks questions and seeks assistance.
Takes responsibility to eliminate the source of problems.
Demonstrates confidentiality regarding information pertaining to all students, faculty and staff.
Maintains proper appearance and personal conduct for the employee’s particular job.
Uses effective communication skills taking into consideration body language, filters, listening, paraphrasing, and questions with customers of diverse ethnic and cultural backgrounds.
Demonstrates ability to work in a team environment.

WORKING CONDITIONS:

Clinic office environment.

PHYSICAL ACTIVITIES:

_X_Stooping, _x_Kneeling _x_Crouching, _x_Reaching, _x_Standing, _x_Walking, _x_Pushing, _x_Pulling, _x_Lifting, _x_Fingering, _x_Grasping, _x_Talking _x_Hearing, _x_Repetitive motion

PHYSICAL REQUIREMENTS :

_x_Medium work _x_Visual acuity

APPLICATION PROCESS

To apply, please upload your resume and cover letter along with your Paycom application. Persons who do not follow and complete the application process are not applicants and will not be considered for employment.

Only qualified applicants will be contacted for an interview. During the selection process, we will strive to provide timely notifications. The selection process may vary from recruitment to recruitment but typically includes multiple interviews and may take several weeks depending on the position. All qualified applicants will be notified once the selection process has closed.

Applicants must be legally authorized to work in the United States at the time of hire and continue to work without employer visa sponsorship, now or in the future.

At Pacific University, we are dedicated to offering experiences that are authentic, holistic, equity-minded, and responsive. Our communal success rests on the recognition that complex problems and effective solutions are best approached by teams with a variety of diverse perspectives. and life experiences. As we continue to develop our equity practices, we actively promote access to opportunities and equitable pay for all employees.

Studies have shown that women and people of color are less likely to apply for jobs where they are unsure if they can perform every function in the job description. We are most interested in finding the best candidate for the job and that candidate may come from a variety of backgrounds and lived experiences. If you are interested in applying, we encourage you to think broadly about how your background and skill set may qualify you for the role.

We, who make up Pacific University, aspire to become a community of purpose where everyone is enabled to be wholly and comfortably who they are; accountable for inclusive behaviors and practices; built on trust, civility, care, openness, and honest conversations often around critical subjects. We know that these values are critical to prepare for a global world with complex problems, through an asset-based mindset so that everyone is afforded an opportunity to succeed. We believe in fostering a workplace where every employee is respected, their contributions are valued, and they are provided opportunities to succeed.

COMPENSATION AND BENEFITS

We offer a comprehensive benefits package for qualifying employees. Current benefits include:

Generous paid time off (for vacation, holidays—including winter break—and sick leave)
Medical coverage with alternative care options (with in-network services covered at 100% after payroll deduction)
Comprehensive dental and vision plans
Generous retirement contribution after one year of service with no match required
Free mental health appointments
Tuition remission for employees and their dependent child(ren) who meet eligibility requirements
On-campus benefits, including free access to our sports facility and library
Discounts on campus food, bookstore purchases, clinic services, and outdoor program gear rentals (including kayaks, snowshoes, and bikes)

EQUAL OPPORTUNITY EMPLOYMENT

Pacific University is an Equal Opportunity Employer and is committed to complying with all applicable laws, including those concerning employment and workplace policies. We are committed to fostering a non-discriminatory and inclusive work environment. We are proud to encourage applications from individuals of all backgrounds, including those from historically underrepresented groups.

NOTICE OF NONDISCRIMINATION POLICY

Pacific University makes all employment decisions without regard to race, color, national or ethnic origin, ancestry, age, religion or religious creed, disability, sex, gender identity and/or expression, sexual orientation, military or veteran status, or any other characteristics protected by applicable law. Applicable laws include, but are not limited to, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, Title VII of the Civil Rights Act of 1964, the Age Discrimination Act, and the Americans with Disabilities Act of 1990. Questions or complaints may be directed to the Vice President for Academic Affairs at 2043 College Way, Forest Grove, OR 97116 or via email at provost@pacificu.edu.

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