Overview

Title: Medical Billing Specialist Department: FinanceSchedule: Monday-Friday, 8:00 AM - 5:00 PM Remote: Oregon/Southern Washington Eligible; Prefers in office candidate with hybrid option WHAT IS GREAT ABOUT THIS OPPORTUNITYVision: Sharing the power of mental wellbeingMission: Providing compassionate care throughout our communityPay & Benefits$20.00 - $24.00 DOEKBBH pays up to 92% of insurance premiums for employees and their families.Benefits Include:Medical InsuranceDental InsuranceVision Insurance403(b) Retirement Plan with 8% Employer Match15 Paid Vacation Days (increases with tenure)Accrued Wellness DaysLife InsuranceDisability InsuranceFlexible Spending Account (FSA)Health Savings Account (HSA)Employee Assistance Program (EAP)Wellness ProgramEmployee DiscountsTuition Reimbursement ProgramEmployee Scholarship ProgramCertified Student Loan Forgiveness Work Location Help ensure clients can access care by making the billing process accurate, efficient, and seamless.We are seeking a detail-oriented Medical Billing Specialist who takes ownership of results and delivers exceptional service. In this role, you'll support both our clients and our organization by ensuring claims are processed accurately, reimbursements are collected promptly, and accounts are managed professionally and compliantly.Success is measured through achievement of established productivity, quality, accuracy, compliance, and customer service standards while contributing to a respectful, collaborative workplace.Remote Work RequirementsThis position is approved for remote work within Oregon and Southern Washington.Employees must maintain: A dedicated, private workspace that supports confidentiality and HIPAA compliance.Reliable high-speed internet capable of supporting video conferencing and cloud-based systems.Professional availability during established business hours.The ability to participate in virtual meetings, training, and collaboration activities using agency-provided technology.Residency within Oregon or the designated Southern Washington service area. Travel Requirement: Occasional travel to Klamath Falls, Oregon may be required for onboarding, training, department meetings, and other business needs.What Success Looks LikeIn this role, you will: Submit accurate, timely claims for commercial insurance, Medicaid, Medicare, and client-pay accounts.Resolve denied, unpaid, and underpaid claims to maximize reimbursement.Maintain clean accounts receivable and proactively reduce aging balances.Provide responsive, professional support to clients regarding billing and account questions.Consistently meet productivity, quality, compliance, and customer service expectations.Partner effectively with internal teams, payers, and external stakeholders to improve outcomes and processes. Key ResponsibilitiesBilling, Claims & Reimbursement Submit and manage billing for commercial insurance, Medicaid, Medicare, and direct-pay accounts.Investigate and resolve denied, unpaid, and underpaid claims.Process service authorizations and support timely reimbursement for approved services.Manage follow-up, collections, and denial resolution activities while meeting established performance standards. Accounts Receivable Management Post payments, reconcile accounts, process refunds, prepare statements, and support month-end activity.Monitor aging reports and perform collection activities in accordance with agency policies.Communicate account status, reimbursement trends, and collection efforts as needed. Client Billing Support Process financial assistance applications and verify eligibility.Respond to billing inquiries with professionalism, empathy, and accuracy.Escalate complex account issues for additional review when necessary. Compliance & Reporting Maintain accurate billing, reimbursement, collections, and financial records.Ensure compliance with federal, state, payer, and agency requirements.Protect confidential client and organizational information in accordance with HIPAA