Medical and Dental Billing Specialist

OCHIN - Portland, OR (30+ days ago)3.7

OCHIN is currently looking for a talented Medical and Dental Billing Specialist to join our team!

OCHIN is growing and we are currently looking for Medical and Dental Billing Specialist to join the team and do great work for multiple clinics! Here you'll have the opportunity to interact with and learn more about non-profit Community Health Centers. These clinics support the health needs of under-served and underprivileged people in our communities. Also, you’ll have the opportunity to learn and work with two of the top medical billing platforms, Epic and NextGen. You will be involved with every step of the revenue cycle for multiple clients and continue to grow and develop professionally in this role - learning and growing is all part of our company culture.

Along with professional growth, we offer generous company benefits: medical, dental, vision, life, pet insurance, commuter reimbursement accounts, and ample PTO. We have perks like an on-site gym, company sponsored happy hours, frequent team potlucks, an outdoor patio, competitive (and not so competitive) ping-pong, and a Rose Festival Dragon Boat Team!

The Billing Specialist is responsible for providing high-quality billing services to one or more OCHIN Billing Services member clinics, potentially in different geographical areas. Responsible for all phases of billing/account follow-up using accepted billing practices to ensure thorough and consistent account resolution to promote financial health. This position ensures acceptable reimbursement and appropriate days in Accounts Receivables with timely account follow-up and resolution of outstanding charges owed by third-party payors. Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, payment posting, and resolution of reimbursement issues for multi-facility, multi-specialty organization. This position will enhance the billing department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

This position is based at the OCHIN office in Portland, Oregon. After training is complete and the staff member is able to work independently, a partial ‘Work From Home’ schedule is an option.

In this role, you'll be collaborating with an innovative team of people moving exciting projects forward and working to improve systems and processes along the way.

Some of the work you'll do:
Providing efficient and effective account receivable services on behalf of our member clients to maximize their reimbursement.
Resolve insurance claim rejections/denials, and non-payment of claims by payors.
Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines in order to identify ways in which we can expedite resolution of insurance accounts and identify delays in processing.
Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
Responsible for maintaining a daily account, follow-up work lists within the department while maintaining organization’s productivity standards.
Ensure compliance requirements are met and process claims in accordance with contracts and policies.
Responsible for identifying, researching, and resolving: credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
Responsible for identifying, researching, and working with other teams members to resolve system issues.
Responsible for patient and electronic and paper insurance remits.
Process, and maintain, within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
Responsible for helping resolve patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
Communicate appropriately with clients, insurance companies, patients, co-workers, and supervisors.
Responsible for updating and verifying information in the practice management system.
Establishing and maintaining positive working relationships with patients, payers, team members, clients and other stakeholders.
Perform other duties as assigned.

1 year of progressive experience in similar or relevant role preferred. 2 years of applicable experience desired.
Minimum of a high school diploma or GED is required. Some higher education is preferred.
Knowledge of Epic and/or NextGen practice management system preferred.
Previous FQHC/RHC experience preferred.
Knowledge of Medical Terminology is preferred in this role.
Dual language skills, specifically in Spanish is a plus.
Working knowledge of Medicare, Medicaid, MVA, Workers Comp and private insurance billing and reimbursement processes, and legal requirements.

Desired Certifications include:
Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate, and
Current certification from ADCA (CDC certificate).

Other Skills:
Proficient use of computers including Microsoft Office 2010 applications
Skilled in 10-key by touch and keyboarding
Ability to operate general office equipment
Exceptional verbal and written communication skills
Excellent attention to detail and ability to multi-task
Ability to work with minimal supervision, independently, as well as in a collaborative team setting
Strong organizational skills with the ability to prioritize and meet deadlines
Knowledge of Commercial and/or Government Payors
Ability to identify, research, and resolve credit balances, missing payments, and unposted cash as it pertains to billing account follow-up

Our company culture is important to us. Successful candidates will identify easily with a set of character attributes, as listed below:

You are…

A Communicator: You possess strong communication skills and have been told you have good customer service skills; you like people and want to help.
A Critical Thinker: You have a mind that regularly looks for ways to find efficiencies, innovate, and make improvements where you can.
Process Orientated: You’re able to understand, work in, create, and improve processes.
A Collaborator: You are a team player and relationship builder whose “can-do” attitude inspires others while working together to solve problems to meet organizational needs.
Someone Who Seeks to Learn: You are eager to listen, study, and learn new things quickly; you are resourceful and are open to regularly accepting and growing from feedback.
Entrepreneurial: You have proven success working in a fast-paced and changing environment; you are excited to play in a space where you’re adding value to the organization and its mission.

About OCHIN:
OCHIN is one of the nation’s largest and most successful Health Information Networks. Here, our goal is simple: to provide solutions that promote access to quality, affordable health care for all. Our Health IT solutions improve the integration and delivery of health care services across a wide variety of practices—with an emphasis on safety net clinics and small practices as well as critical access and rural hospitals.

Our corporate office is located in beautiful downtown Portland, Oregon. Working with us, you’ll find challenging projects, a collaborative team, and some of the best employee perks around, including public transportation reimbursement, an onsite gym, community volunteer activities, a generous PTO package, and a Dragon Boat Racing team! Recognized as one of the Top 100 Nonprofits to work for in 2013-2017, OCHIN is committed to creating a positive and enjoyable workplace for all of its employees.

Organizational Disclaimer

Job descriptions are designed to outline primary duties, responsibilities, and qualification requirements, and should not limit additional duties and responsibilities assigned. It is our expectation that all employees offer their services wherever and whenever deemed necessary to ensure the success of the organization.

ADA Requirements

Constant interpersonal skills, teamwork, customer service, problem analysis, and reading, speaking, writing, and understanding English. Frequent creativity, mentoring, presentations, and teaching. Occasional decision making and independent judgment or action. Frequent keyboarding, sitting, standing, hearing, and talking.

Equal Opportunity

OCHIN is an Equal Opportunity Employer and participates in E-Verify. OCHIN does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable state or federal civil rights laws.

Pre-Employment Screening

This position is subject to a pre-employment criminal background check, as well as a check against the Office of Inspector General’s (OIG) exclusion list.