Medical Billing Specialist

Native American Rehabilitation Association; Portland (OR); On-site; USD 48,000 - 64,000; Full time

Job summary

Native American Rehabilitation Association in Portland, OR seeks a detail-oriented Billing Specialist to manage insurance billing, payments, and claim resolution across medical and behavioral health services. You will support the Revenue Cycle team, ensure accurate documentation, and stay compliant with payer requirements.

The ideal candidate has 2 years of medical billing experience, knowledge of OHP/Medicaid, and strong data entry and communication skills.

Qualifications

• 2 years of medical billing or healthcare revenue cycle experience.
• Experience with Oregon Health Plan (OHP), Medicare, Medicaid, and managed care plans.
• Knowledge of medical terminology and healthcare billing practices.
• HIPAA regulations and patient confidentiality requirements.
• Strong data entry, mathematical and organizational skills with attention to detail.
• Strong customer service and communication skills.
• Must pass pre-employment drug tests including marijuana and 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 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

Data entry

Attention to detail

Organizational skills

Customer service

Communication skills

Education

High School Diploma or GED

Medical Billing and Coding Certificate

Tools

Athena

Microsoft Office

Job description

Billing Specialist (AD042)

River House - Portland, OR 97214

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.

Qualifications

• Minimum one (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.

Benefits

• 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&DShort 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, FQHCH