Job Opportunities API

Description Step Into a Role Where Your Billing Expertise Drives Impact & Excellence! Location: Tacoma, WA | On-Site Schedule: Full-Time | Mon – Fri, 8:00 AM – 5:00 PM Hiring Range: $23.52 - $26.75 per hour Position Close Date: Open Until Filled Take your revenue cycle expertise to the next level in a dynamic role. As a Billing Specialist II at the Puyallup Tribal Health Authority (PTHA) , you will perform billing functions — including claim processing, payment posting, insurance verification, and denial resolution — while also supporting team workflows, reporting, and compliance. Your work ensures patient accounts are managed with precision, timeliness, and full alignment with payer requirements and organizational standards. What You’ll Do: • Process high volumes of medical, dental, and orthodontic insurance claims using ICD-10, CPT and HCPCS coding standards to ensure accurate and timely billing. • Verify patient insurance eligibility, benefits, and payer requirements to support compliant claim submission and reimbursement. • Generate, submit, and reconcile electronic (837/835), CMS-1500, and ADA claims while ensuring adherence to payer guidelines. • Review, research, and resolve denied or rejected claims by correcting billing errors, coordinating coding revisions, and resubmitting claims for payment. • Manage assigned accounts receivable (A/R), monitor aging reports, and perform follow up activities to improve collections and reduce outstanding balances. • Post insurance and patient payments, adjustments, and denials accurately while reviewing Explanation of Benefits (EOBs) and remittance documentation. • Prepare and distribute patient statements, process Medicaid eligibility updates and spend-down billing, and monitor payer reports to identify and resolve unbilled claims. • Analyze billing trends, identify process inefficiencies or system issues, and recommend workflow improvements to enhance billing accuracy and productivity. • Train and support new billing staff by providing guidance on billing systems, workflows, and organizational procedures. • Maintain compliance with HIPAA, OSHA, confidentiality, and organizational policies while participating in required annual regulatory and safety training. What You Bring: • High School Diploma or GED required • Three (3) years of recent experience in medical billing or revenue cycle operations • Dental billing experience preferred Why PTHA? We are more than a clinic — we're a culturally grounded, patient-first health and wellness center serving the Indigenous community. We value teamwork, integrity, and community well-being. Here, your work has meaning. • Work in a mission-driven, accredited organization • Serve a close-knit patient population in an urban reservation setting • Enjoy opportunities for professional development and training • Experience a strong support system and inclusive team culture Perks of the Role: • Meaningful Mission – Contribute to the overall wellness of a tribally operated health organization dedicated to serving the Indigenous community with respect, humility, and compassion • Engaging Experience – Hands-on experience with modern digital dental technology • Competitive Compensation – Receive a fair salary that reflects your expertise and the impact of your work • Supportive Team Culture – Join a collaborative and inclusive environment where respect and ethics are core values • Cultural Enrichment – Work in an organization that values and integrates Indigenous traditions, community care, and cultural sensitivity • Stability & Impact – Be part of a long-standing, accredited institution that plays a vital role in community health and development PTHA Employee Benefits: • Supportive environment that values a healthy work/life balance • Medical/Dental/Vision monthly premiums paid 100% by PTHA for employees (health coverage begins the first of the month following hire date) • (13) annual leave (vacation) days + (13) annual sick leave days • (18+) annual paid holidays including a birthday holiday • 401(k) with annual profit-sharing contributions after (1) year of service • Life and AD&D insurance coverage • Have student loans? PTHA is an approved loan repayment site for various student loan programs This is more than a billing position — it’s an opportunity to lead, influence processes, and make a meaningful impact on both operations and patient care. You’ll play a critical role in strengthening the revenue cycle while supporting a mission-driven organization committed to community health. In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors.