Billing Specialist

Kids for the Future; Tualatin (OR); On-site; USD 42,000 - 54,000; Full time

Job summary

Pioneer Rheumatology, an affiliate of Articularis Healthcare Group, seeks a detail-oriented Billing Specialist to manage insurance claims, patient payments, and billing discrepancies in a growing private practice in Oregon. The role emphasizes accuracy, HIPAA compliance, and timely submissions; in-office work is preferred but local remote could be considered.

Responsibilities include submitting clean claims, following up on denials, posting remits, coordinating collections, and ensuring coding

Qualifications

• High school diploma/GED required; 2 years in a customer-service role or related experience.
• Experience with medical payers including Medicare, Medicaid and commercial insurance.
• Previous experience in a medical/clinical setting advisable.
• Working knowledge of medical billing systems and coding practices.
• Proficient with computers, internet, and Microsoft Office Suite.
• Certification in billing and coding preferred.

Responsibilities

• Greet and prepare patients for the health care provider with a caring attitude.
• Prepare and submit clean claims to third party payers electronically or by paper.
• Coordinate collection processes and track current collections.
• Manage weekly statement process and review statements prior to processing.
• Identify and resolve patient billing problems.
• Perform denial and insurance follow-up management.
• Submit adjusted, corrected, and rebilled claims promptly.
• Post electronic remits (ERA), manual payments and adjustments; handle refunds as needed.
• Ensure coding is compliant, accurate and up to date.
• Review accounts and advise Supervisor on non-collectible accounts.
• Maintain strict confidentiality and HIPAA compliance.
• Other duties as assigned by supervisor.

Skills

Attention to detail

Customer service

Verbal and written communication

Education

High school diploma/GED

Billing/coding certification preferred

Tools

Athena

Job description

• Location 7587 SW Mohawk St,Tualatin, OR, 97062,United States

We are seeking a detail-oriented Billing Specialist to join our growing private practice. In this role, you will manage insurance claims, process patient payments, and resolve billing and coding discrepancies to ensure our operations run smoothly. If you are an organized professional with a strong background in medical billing and a passion for helping patients navigate their financial care, we would love to have you on our team. It is preferred that this person work in-office, but open to local remote workers.

At Pioneer Rheumatology, an affiliate of Articularis Healthcare Group, we recognize that our team members are our greatest asset, which is why we offer a competitive benefits program designed to support you. As a growing practice, we are continuously expanding our services and investing in our future, which translates benefits for our staff. By joining our dynamic team, you will enjoy benefits that protect your health today while investing in your professional and personal security for tomorrow.

Job duties for this position include the following:

• Responsible for greeting and preparing patients for the health care provider while maintaining a positive and caring attitude.

Responsible for preparing and submitting clean claims to third party payers either electronically or by paper.

Coordinates collection process and tracking current collection.

Manages weekly statement process, to include reviewing statements before processing.

Identifies and resolves patient billing problems .

Responsible for denial and insurance follow-up management.

Responsible for submitting adjusted, corrected, and/or rebilled claims to third party payers in a timely manner.

Responsible for posting electronic remits (ERA), manual payments and adjustments, transfer of responsibility and refunds, as necessary and in a timely manner.

Assure coding is compliant, accurate and up to date.

Reviews accounts and makes recommendations to Supervisor regarding non collectible accounts.

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Other duties as assigned by supervisor.

The qualifications for this role include the following:

High school diploma/GED with 2 years or any combination of education and work experience in a customer service-related role.

Experience working with medical payers including Medicare, Medicaid and commercial insurance.

Previous experience working in a medical/clinical setting.

Working knowledge of medical billing systems.

Working knowledge of coding practices.

Working knowledge of computers, internet access, and the ability to navigate within Microsoft Office Suite, or similar programs.

Athena experience preferred.

Certification in billing and coding preferred.

Demonstrated excellent verbal and written communication skills.

Pioneer Rheumatology is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, protected veteran status, pregnancy, or any other characteristic protected by federal, state, or local laws. Employment decisions are based solely on merit, qualifications, and business needs.