Medical Billing Specialist

Native American Rehabilitation Assoc. of the NW; Portland (OR); On-site; USD 31,000 - 39,000; Full time

Benefits offered by this job

Medical Insurance

15 Paid Holidays

PTO

Life Insurance & AD&D

401(k) with Match

Job summary

Native American Rehabilitation Assoc. of the NW is seeking a detail-oriented Billing Specialist to support the revenue cycle by managing insurance billing, payments, and claim resolution for medical and behavioral health services at our Portland, OR site.

You will audit charges, verify eligibility, review EOBs, and follow up on unpaid claims as part of a collaborative Revenue Cycle team. Compliance with HIPAA and strong data entry skills are essential for success.

Qualifications

• Minimum of two (2) years of medical billing or healthcare revenue cycle experience.
• High School Diploma or GED.
• Experience working with Oregon Health Plan (OHP), Medicare, Medicaid, and managed care plans.
• Knowledge of medical terminology and healthcare billing practices.
• Intermediate proficiency with Microsoft Office applications.
• Understanding of HIPAA regulations and patient confidentiality requirements.
• Strong data entry, mathematical, and organizational skills with exceptional attention to detail.
• Strong customer service and communication skills.
• Must pass a pre-employment or for-cause drug tests - including marijuana.
• Must pass criminal background check

Responsibilities

• 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

Skills

Billing

Medical billing

Healthcare revenue cycle

HIPAA compliance

Microsoft Office

Data entry

Customer service

Education

High School Diploma or GED

Tools

Athena

Practice Management Software

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!

At NARA Northwest, you'll find a supportive work environment where every team member is valued and respected. Whether you're passionate about healthcare, behavioral health, education, or social services, there's a place for you to make a meaningful difference.

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 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

We would like to hear from people that have

• Minimum of two (2) years of medical billing or healthcare revenue cycle experience.
• High School Diploma or GED.
• Experience working with Oregon Health Plan (OHP), Medicare, Medicaid, and managed care plans.
• Knowledge of medical terminology and healthcare billing practices.
• Intermediate proficiency with Microsoft Office applications.
• Understanding of HIPAA regulations and patient confidentiality requirements.
• Strong data entry, mathematical, and organizational skills with exceptional attention to detail.
• Strong customer service and communication skills.
• Must pass a pre-employment or for-cause drug tests - including marijuana.
• Must pass criminal background check

Preferred Qualifications

• Medical Billing and Coding Certificate.
• Experience with CPT, ICD-10, and HCPCS coding systems.
• Experience using Athena or similar practice management software.
• Knowledge of healthcare reimbursement processes and insurance regulations.
• Experience working within Native American and Alaska Native communities.

What's in it for you?

15 Paid Holidays: New Years Day, Martin Luther King Jr. Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples' Day, Veterans Day, Thanksgiving, day after Thanksgiving, December 25th and your birthday!

Benefits

Employees working 20 hours, or more are eligible for benefits. Benefits are effective from the 1st of the month following the date of hire.

• Affordable Medical, Dental, and Vision Insurance through Kaiser Permanente
• 15 Paid Holidays (Listed Above)
• 13 Paid Days of Sick Time
• 13 Paid Days of PTO (Vacation accruals increase with years of service to a maximum of 26 days)
• $50,000 Life Insurance & AD&D
• Short Term and Long-Term Disability
• Flexible Spending Account
• Health Spending Account
• 401(k) with 4% Match
• Employee Assistance Program
• Inclement Weather Days (Snow Days)
• Public Student Loan Forgiveness - NARA NW is a local 501(c)3 nonprofit, FQHC

NARA NW Mission: Our mission is to provide education, physical and mental health services and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and everyone in need.

NARA NW is fully committed to supporting sobriety. To support NARA NW in its mission, all employees agree to refrain from illicit drug use, marijuana use, and prescription drug abuse, both on and off the job. In addition, all employees agree to model alcohol sobriety. Modeling alcohol sobriety means not consuming, discussing, or promoting the use of alcohol, on the job, on social media and when in the community where the employee would be likely to be seen by NARA NW clients or community. If in recovery, employees must have been sober/clean for a length of time sufficient to demonstrate that they will be able to remain sober.

Consistent with NARA NW's sobriety policy, all employees, volunteers, interns, and contractors, as applicable, are required to sign a "Drug-Free/Alcohol-Free Workplace Certification Form" and NARA NW "Modeling Sobriety Policy Form" as a condition of employment to confirm that they are aware of this policy and that they agree to comply with it. Violation of this policy will result in disciplinary action up to and including termination of employment. This policy is subject to the requirements of the Americans with Disabilities Act and its state counterpart

Preference in hiring is given to qualified Native Americans in accordance with the Indian Preference Act (Title 25, US Code, Sections 472 and 473). NARA Northwest is an Equal Opportunity Employer. Within the scope of Indian Preference, all candidates will receive equal consideration. Experience working with Native American/ Alaska Native community is considered a plus.

This job description is not intended to be and should not be construed as an all-inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position's activities and requirements, the agency reserves the right to modify, add or remove duties and assign other duties, as necessary.