Medical Billing Specialist — Reimbursement & Denials Expert

Boly-Welch Inc; Portland (OR); On-site; USD 28,000 - 40,000; Full time

Job summary

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

Qualifications

• 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.

Responsibilities

• 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.

Skills

Medical Billing

Medicaid/Third-party Billing

Claim Submission

Denial Management

Appeals Process

HIPAA/PHI

MS Excel

Payer Portals

Tools

Excel

Payer Web Portals

Job description

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