Billing Specialist (AD042)

Native American Rehabilitation Association of the Northwest, Inc. (NARA); Portland (OR); On-site; USD 31,000 - 39,000; Full time

Job summary

Native American Rehabilitation Association of the Northwest, Inc. (NARA) is seeking a detail-oriented Billing Specialist to join our Revenue Cycle team at the Portland, OR site.

You will manage insurance billing, payment processing, claim resolution, and account reconciliation for medical, behavioral health, and substance use treatment services. This onsite role requires careful documentation and timely follow-up on denials while staying up-to-date with payer requirements and regulations.

Qualifications

• Experience in medical billing preferred.
• Familiarity with insurance payers and EOBs.
• Attention to detail and accuracy in financial records.

Responsibilities

• Audit charges for services across medical and behavioral health.
• Review authorizations, diagnoses, coverage, copayments, and payments.
• Verify patient eligibility and benefits.
• Reconcile EOBs and deny/denied claims.
• Follow up on outstanding accounts receivable and claims.
• Resubmit denied claims and submit to primary/secondary payers.
• Process payments, adjustments, refunds, and write-offs.

Skills

Billing

Insurance billing

Revenue cycle

Claim resolution

Account reconciliation

Auditing charges

Eligibility verification

Job description

Title: Billing Specialist - AD042

Location: NARA Northwest Administration - 211 SE Caruthers St, Portland, OR 97214

Schedule: Onsite, Mon-Fri 8:30am - 5:00pm

Wage Range: $22.58 - $28.35 Hourly

If you are a motivated and dedicated Billing Specialist looking for an opportunity to contribute to an organization making a positive impact, we want to hear from you!

About The Company

At NARA NW, we deliver services and support to Native American and Alaska Native communities, helping individuals lead healthier, more fulfilling lives.

With over 500 employees across a variety of programs—including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives NARA NW offers numerous opportunities for growth and advancement, all while making a tangible, positive impact on the lives of others.

NARA NW is provides education, physical, mental health services, and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and anyone in need.

Position Overview

NARA Northwest is seeking a detail-oriented and customer-focused Billing Specialist to support the financial health of our organization and ensure clients receive uninterrupted access to essential healthcare services. In this role, you will work as part of the Revenue Cycle team, managing insurance billing, payment processing, claim resolution, and account reconciliation for medical, behavioral health, and substance use treatment services.

What You Will Do

• Audit charges for medical, mental health, and substance use treatment services.
• Review authorizations, diagnoses, insurance coverage, copayments, and payment allocations.
• Verify patient eligibility and insurance benefits.
• Review Explanation of Benefits (EOBs) and reconcile claim discrepancies.
• Follow up on outstanding insurance accounts receivable and unpaid claims.
• Research and resubmit denied or rejected claims.
• Submit claims to primary and secondary insurance carriers, including government payers.
• Process payments, adjustments, refunds, and approved write-offs.
• Maintain accurate documentation, billing notes, and claim records.
• Support revenue cycle projects and improvement initiatives.
• Stay current on billing regulations, payer requirements, and internal systems