Medical Insurance Claims Specialist

SOUTHERN OREGON ORTHOPEDICS; Medford (OR); On-site; USD 26,000 - 39,000; Full time

Job summary

SOUTHERN OREGON ORTHOPEDICS in Medford, OR, is seeking a detail-oriented insurance billing specialist to support account resolution, payer communications, and timely reimbursement. The role focuses on reviewing claims, contacting payers, and escalating complex issues as needed.

You will document payer contacts, work with coding and billing staff, handle patient payments, and ensure HIPAA-compliant processes in a clinic office setting.

Qualifications

• Experience with medical insurance claims and payer portals.
• Ability to learn EHR systems and clinic workflows.
• Strong data entry accuracy and confidentiality.

Responsibilities

• Review assigned insurance accounts and identify outstanding claims, denials, or underpayments.
• Contact payers to verify claim status and resolve processing issues.
• Investigate denials and coordinate corrections, reconsiderations, or appeals as assigned.
• Document payer contacts and follow-up actions in Epic or the designated system.
• Identify coverage, coordination-of-benefits, and claim submission issues.
• Collaborate with coding, billing and authorization staff to resolve account discrepancies.
• Monitor assigned work queues and meet department follow-up standards.
• Escalate complex or recurring payer issues to management.
• Take patient payments.
• Answer billing line patient questions.
• Completes other duties and special projects as assigned by Manager/Lead.

Skills

Data entry

Attention to detail

HIPAA compliance

Communication

Education

High school diploma or equivalent

Job description

SOUTHERN OREGON ORTHOPEDICS in Medford, OR, is seeking a detail-oriented insurance billing specialist to support account resolution, payer communications, and timely reimbursement. The role focuses on reviewing claims, contacting payers, and escalating complex issues as needed.

You will document payer contacts, work with coding and billing staff, handle patient payments, and ensure HIPAA-compliant processes in a clinic office setting.