Job Description

Coastal Living? Bring your career to a picturesque resort town that has become a popular destination for travelers visiting the Oregon Coast. The area\'s unique historical significance and its history as one of the first popular resort towns draws tourists from all over the world. **THIS ROLE IS LOCATED ALONG THE OREGON COAST ** We are hiring IMMEDIATELY for a Insurance Billing Coordinator to join one of our community mental health providers! Summary: The primary purpose of this position is to ensure healthcare providers are paid for services rendered while maintaining compliance with contracts, payment structures, legislation and rules that impact billing and collection. This position will follow-up on any outstanding Accounts Receivable for all payers, including self-pay, and will work to resolve claim denials and secure payment. This position bills a variety of payers for services rendered to clients including Medicaid, Managed Care Plans, contracts, private and commercial insurers, and guarantors. Essential Duties and Responsibilities:

• Ensuring all claims are processed in a timely manner.
• Submitting electronic claims and manual invoices/claims to contracted payers.
• Verifying insurance eligibility benefits and authorizations are in place.
• Preparing and sending billing statements to clients.
• Utilizing and interpreting explanation of benefits responses to process insurance claims.
• Approving and posting payments.
• Adding and maintaining grant payments and apply payments to client claims.
• Notifying staff if they need to complete missing or have incomplete documentation.
• Programing modules when necessary i.e. fee matrix, activities modules, procedure module, roll up rules, and payer module, etc.
• Providing customer service by responding to inquiries from payers, clients and co-workers regarding claims, financial information set up, billing and payments.
• Investigating and resolving outstanding balances with payers.
• Correcting and reprocessing accounts as needed.
• Reviewing, processing, and resolving any failed or scrubbed activities and failed claims.
• Following up with insurance companies/providers if more authorizations are needed.
• Running necessary reports to process claims for instance, authorizations, aging, tracking unpaid claims.
• All Staff are Mandatory Abuse Reporters per the State of Oregon, as such all staff must be aware of and follow Mandatory Abuse Reporting Policies.
• Other duties as assigned

Requirements:

• 2-4 years\xe2\x80\x99 prior experience as a billing specialist with strong understanding of medical coding.
• Knowledge of medical codes, billing procedures, legal billing guidelines, posting procedures.
• Knowledge of Health Insurance Portability and Accountability Act HIPAA and importance of maintaining confidentiality.
• Ability to understand and appropriately apply contractual language in various situations.
• Experienced at observing, receiving, and otherwise obtaining information from all relevant sources.
• Experience with compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
• Perform administrative activities such as maintaining information files and processing paperwork.
• Required to have and maintain an Oregon or Washington Driver\xe2\x80\x99s license and meet the agency\xe2\x80\x99s insurance carrier\xe2\x80\x99s insurance standards at the time of hire.

Preferred:

• Associates Degree in Accounting or Finance or equivalent work experience.
• Experience working with confidential information.

"Careers and companies flourish when staff, clients, and candidates truly believe in the mission, know the role they play, and humbly reflect, evaluate, and act for the best interest of the communities served". Proof of COVID-19 vaccination. Job Type: Full-time Pay: From $22.00 per hour Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Associate (Required)

Experience:

• billing in medical coding: 2 years (Required)

Work Location: One location

• Health insurance