Billing Specialist II

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: July 16, 2026

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.