Medical Billing Specialist Role at Quil Ceda Village

Navigating the intersection of healthcare administration, insurance reimbursement, and patient care requires a detail-oriented professional with a strong command of medical coding and billing systems. The Quil Ceda Creek Counseling Company, operating within an integrated care framework in Tulalip, Washington (WA 98271), has posted an opening for a dedicated Medical Billing Specialist (Job Code: 20261-42).

This position offers a competitive compensation package ranging from $21.62 to $27.02 per hour and presents an excellent career milestone for healthcare administration professionals seeking to contribute to community-focused behavioral health and primary care services.

Job Overview and Key Details

About the Employer: Quil Ceda Creek Counseling Company

Quil Ceda Creek Counseling Company operates an integrated healthcare clinic located in Quil Ceda Village within the Tulalip Indian Reservation in Snohomish County, Washington. Integrated care models bring together multiple disciplines under a single roof to address physical, psychological, and substance use conditions simultaneously.

The clinic integrates three primary services:

1. Primary Medical Care: Standard health monitoring, disease prevention, and routine outpatient interventions.

2. Behavioral Health: Outpatient mental health counseling, psychiatric evaluations, and therapeutic support.

3. Opioid Use Disorder Treatment: Specialized medication-assisted treatment (MAT) alongside clinical addiction counseling.

Working in an integrated environment requires billing personnel to manage diverse coding systems, reimbursement models, and regulatory compliance rules across multiple specialties.

Role Responsibilities and Core Scope of Work

The Medical Billing Specialist serves as a vital bridge between clinical care delivery and financial stability. Revenue cycle management in a multi-specialty integrated facility involves structured claims handling, compliance adherence, and rigorous administrative reporting.

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       |   Clinical Encounter & Documentation Completion       |
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       |   Coding Verification (CPT, ICD-10-CM, HCPCS Level II) |
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       |   Claims Submission to Payers (Medicare/Medicaid/Private)|
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       |   Payment Posting, Denial Management & Reporting      |
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Primary Duties

• Claims Generation and Submission: Prepare, scrub, and submit clean medical claims electronically or via hard copy (CMS-1500) to private commercial insurance carriers and public programs, including Medicare and Washington Medicaid (Apple Health).

• Insurance Verification & Authorizations: Confirm patient eligibility, co-pays, deductibles, and pre-authorization requirements prior to or immediately following care delivery.

• Denial Management and Appeals: Analyze claim rejections, identify root causes (e.g., coding mismatch, missing authorization, patient eligibility lapses), correct errors, and resubmit appeals within established payer deadlines.

• Financial and Activity Reporting: Compile, analyze, and present detailed monthly billing reports tracking key metrics such as Accounts Receivable (A/R) days, collection ratios, and claim rejection rates.

• Cross-Specialty Reimbursement Alignment: Manage complex billing scenarios unique to behavioral health, substance abuse treatment programs, and primary care encounters, ensuring compliance with federal and state-specific regulations.

Required Qualifications and Skills

Candidates evaluating this opening should possess a balanced mix of technical healthcare knowledge, analytical skills, and office proficiencies:

• Healthcare Coding Systems: Familiarity with current procedural terminology (CPT), Diagnosis Coding (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS Level II) codes, specifically regarding mental health and addiction services.

• Payer Knowledge: Working knowledge of Medicare Part B regulations, Washington Medicaid (Apple Health) billing rules, commercial insurer claims processing, and tribal healthcare reimbursement frameworks.

• Technical & Office Software Proficiency: Capability to navigate Electronic Health Records (EHR) platforms, Practice Management Systems (PMS), clearinghouse portals, and spreadsheet programs (Microsoft Excel) for data manipulation and reporting.

• Analytical Thinking: Ability to audit medical records for billing integrity, trace unpaid claims, and resolve complex reimbursement discrepancies.

• Communication & Collaboration: Professional communication skills to collaborate with clinical staff on documentation requirements, speak with insurance representatives, and guide patients through balance questions.

Compensation and Benefits Breakdown

The hourly rate for this position is established between $21.62 and $27.02 per hour, reflecting experience levels, billing certifications, and specialized knowledge in behavioral health billing.

$21.62/hr                        $24.32/hr                        $27.02/hr
    |--------------------------------|--------------------------------|
Entry/Standard Rate               Mid-Level                        Upper Range
(Basic Medical Billing)        (Integrated/Medicaid Focus)   (Advanced Certification)

At full-time employment (40 hours/week), this hourly rate corresponds to an estimated annual gross income range of $44,969 to $56,201, dependent on final qualifications and clinic scheduling structures.

How to Apply

Interested candidates meeting the requirements for Job Code 20261-42 can access the full job application and submit their resume through the official job listing portal linked below:

Apply for Medical Billing Specialist Position on Indeed

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