Billing Specialist III

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: $21.52 - $26.90 per hour

Position Close Date: May 7, 2026

Take your revenue cycle expertise to the next level in a dynamic role. As a Billing Specialist III at the Puyallup Tribal Health Authority (PTHA), you will perform advanced 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:

• Perform advanced billing functions, including claim submission (CMS-1500/ADA), payment posting, and insurance verification 
• Manage high-volume medical, dental, and orthodontic claims with a focus on accuracy and timeliness 
• Investigate and resolve denied or rejected claims; collaborate with coding staff as needed 
• Monitor and manage A/R aging reports, ensuring timely follow-up and resolution 
• Submit electronic claims (837) and reconcile remittance advice (835) daily 
• Analyze payer reports to identify trends, errors, and process improvement opportunities 
• Coordinate daily team workflows and serve as a resource for complex billing issues 
• Support team development through training, onboarding, and guidance 
• Generate reports, oversee month-end processes, and maintain compliance with all regulatory and Tribal billing requirements

What You Bring:

• High School Diploma or GED required 
• Six (6) years of recent experience in medical billing or revenue cycle operations 
• Two (2) years of Medicare billing experience 
• Demonstrated expertise in advanced billing functions, denial resolution, and workflow coordination
• 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 (2) years 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.