Medical Billing Specialist: Claims, Coding & Reconciliation

Options For Southern Oregon; Grants Pass (OR); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical benefits

403(b) match

Paid time off

11 holidays

Job summary

Options for Southern Oregon in Grants Pass, OR, is seeking a Medical Billing Specialist to support our billing team with patient payments and insurance claims in behavioral health services. You will enter data into the EHR, manage claims, and work with insurance providers to resolve denials, ensuring timely, accurate reimbursements while maintaining confidentiality and meeting deadlines.

Strong organizational skills and knowledge of Oregon billing requirements are essential, with prior

Qualifications

• High school diploma or equivalent.
• Minimum of two years of medical billing experience.
• Knowledge of Oregon diagnosis requirements for billing preferred.
• Strong organizational skills and effective communication.
• Ability to work independently and flexibly under general supervision.
• Must pass state-required background and DMV checks.

Responsibilities

• Enter required billing data into the EHR.
• Create and generate reports to extract and verify billing data.
• Maintain detailed billing records, reports and files for billing department.
• Review and update patient charges, insurance data and demographic information in EHR.
• Assist clinicians with coding questions and resolves coding errors so claims can be generated correctly.
• Bills primary and secondary insurance carriers within timely filing guidelines and standards.
• Work with insurance representatives to solve denials or improper payments.
• Generate patient billing and ensure service approval status and fee agreement on file.
• Monitor reconciliation of third party insurance remittances and cash application.
• Verify clients’ private insurance coverage and determine services covered.
• Process month end close in the medical billing system and reconcile with accounting.
• Review and correct encounter data and Medicare billing exceptions.

Skills

Organizational skills

Time management

Communication skills

Education

High school diploma

Tools

EHR software

Job description

Options for Southern Oregon in Grants Pass, OR, is seeking a Medical Billing Specialist to support our billing team with patient payments and insurance claims in behavioral health services. You will enter data into the EHR, manage claims, and work with insurance providers to resolve denials, ensuring timely, accurate reimbursements while maintaining confidentiality and meeting deadlines.

Strong organizational skills and knowledge of Oregon billing requirements are essential, with prior