Medical Billing Specialist

Boly-Welch Inc; Portland (OR); Presencial; USD 28.000 - 40.000; Jornada completa

Descripción de la vacante

Boly:Welch is seeking a temporary Medical Billing Specialist in Portland, OR to manage reimbursement programs and insurance claims. You will oversee the full cycle from eligibility verification to claim submission, ensuring accurate processing and HIPAA compliance.

Key duties include confirming coverage, securing authorizations, reviewing stay documentation, submitting claims, tracking denials, pursuing appeals, reconciling payments, and maintaining detailed records while collaborating with

Formación

• 2+ years of medical, Medicaid, or third-party billing and collections experience.
• Working knowledge of claim submission, denial management, and appeals processes.
• Understanding of HIPAA and PHI handling.
• Proficiency with Microsoft Office, especially Excel, and payer portals.

Responsabilidades

• Oversee full reimbursement cycle from eligibility verification to claim submission.
• Confirm insurance coverage and secure required authorizations.
• Review stay documentation for accuracy and payer-specific requirements.
• Submit claims, track status, and research denials.
• Submit appeals when necessary and reconcile payments.

Conocimientos

Medical Billing

Medicaid/Third-party Billing

Claim Submission

Denial Management

Appeals Process

HIPAA/PHI

MS Excel

Payer Portals

Herramientas

Excel

Payer Web Portals

Descripción del empleo

Job Number: 32752

Salary: $24.50/hr

Industry: Non-Profit

Must Haves:

• 2+ years of medical, Medicaid, or third-party billing and collections experience
• Working knowledge of claim submission, denial management, and appeals processes
• Understanding of HIPAA and the handling of protected health information (PHI)
• Proficiency in Microsoft Office applications, particularly Excel, and experience using payer web portals

Your New Role

Looking for a role where your billing expertise helps make a real difference? Our client, a mission-driven organization, is looking for a temporary Medical Billing Specialist to manage reimbursement programs and insurance claims, ensuring critical services remain accessible to individuals and families who need them most.

As Medical Billing Specialist, you’ll oversee the full reimbursement cycle from eligibility verification through claim submission. Responsibilities include confirming insurance coverage, securing prior authorizations, reviewing stay documentation for accuracy, and preparing claims in accordance with payer-specific requirements. You’ll work closely with internal teams to ensure that all required information is collected and that every eligible stay meets reimbursement guidelines.

In this role, you’ll also manage accounts receivable activities, including tracking claim status, researching denials, following up on unpaid balances, and submitting appeals when necessary. Additional responsibilities include reconciling payments, maintaining detailed billing records, analyzing reimbursement data, and ensuring compliance with evolving Medicaid, insurance, and reimbursement regulations. Building productive relationships with payer representatives and collaborating across departments will be essential to success in this position.

Success in this role requires strong attention to detail, organization, and the ability to manage multiple priorities in a deadline-driven environment. The ideal professional is a proactive problem solver who communicates effectively, works collaboratively with a variety of stakeholders, and approaches sensitive information with professionalism, discretion, and a commitment to service.

This is an on-site role, with some occasional travel between site locations and community events across the Portland Metro area.

Your New Organization

Join a respected nonprofit organization known for its commitment to service, compassion, and community impact. Here, team members enjoy a supportive and mission-driven environment where collaboration, professional growth, and meaningful work go hand in hand. If you’re looking for a role where you can contribute to something bigger while working alongside dedicated colleagues, this is an opportunity worth exploring.

As a Boly:Welch contracted employee, you’ll be eligible to receive our full suite of benefits, including paid sick leave, medical insurance, an FSA, and a retirement plan.

Please Note

Boly:Welch is a full-service recruiting and executive search agency representing a Boly:Welch partner in this search. As talent advisors, we will be the liaison between our partner and yourself during the recruitment process.

We do not use AI to read resumes at Boly:Welch; every resume is reviewed by a member of our team to ensure we engage in an equitable and human hiring process. We look forward to seeing your application!