This position is responsible for processing behavioral health claims and maintaining behavioral health credential records.

What you’ll do:

· Review and submit insurance or reimbursement claims for substance use providers and program staff

· Correct failed/denied claims and resubmit.

· Coordinate with the Behavioral Health Administrator and process reimbursement payments and provide reports for the accounting department.

· Verify Medicaid eligibility for clients

· Submit and maintain authorizations for services.

· Act as an administrator on various claims portals such as CIM, OneHealthPort, Office Ally, and MOTs.

· Other duties as required.

General Responsibilities

· Assist with maintaining provider credential records.

· Assist new providers with NPI, Medicaid, and CCO registrations, as needed.

· Provide updated provider rosters to CCOs as required.

· Act as backup for mental health billing claims.

· Track the monthly Verify/Comply lists: add or delete staff from roster, correct register

· Follow the protocol, policies, and procedures of the department and agency.

· Maintain accurate documentation on a consistent basis.

· Complete and submit reports as needed.

· Maintain confidentiality of client information and comply with HIPAA guidelines.

· Provide culturally responsive services that are equitable, respectful, and relevant to people from a wide variety of cultures, backgrounds and orientations.

· Attend meetings and trainings as required.

· Regularly participate in professional development.

Who you are:

· High school diploma or equivalent plus 1 – 2 years of office/administrative experience.

· Experience with an Electronic Health Records system is preferred.

Skills and Abilities

· Required to consistently enter data accurately.

· Attention to detail.

· Problem-solving skills to identify, research and resolve moderately complex issues.

· Complete tasks within an assigned deadline.

· Able to build and maintain rapport with people from diverse backgrounds and personalities.

· Ability to establish priorities, work independently, and proceed with objectives without supervision.

· Have effective and flexible communications skills.

· Ability to interact with colleagues, supervisors and customers face to face, online and on the phone.

· Maintain confidentiality.

· Skill to use a personal computer and various software packages.

· Able to meet consistent attendance.

· If using personal vehicle on company business, must have a valid driver’s license and meet minimum automobile insurance requirements.

Diversity Statement

Northwest Family Services, through our mission, practices and the services we offer, are committed to the belief that all people deserve dignity and respect. As we serve our communities, we will continue to work together to listen, to learn, and to act to overcome historic values and structures that have led to discrimination and inequities.

We are committed to creating a culture of belonging, where all staff are valued and given opportunity to grow and succeed equitably. We do not discriminate on the basis of race, color, gender identity, gender expression, religion, age, sexual orientation, primary language, ethnic background or socioeconomic status. NWFS pursues policies, strategies, and programs which promote diversity, inclusion, and equity in our daily work. We seek staff who share our vision and commitment to our communities.

Supplemental Information

Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.

Job Type: Full-time

Pay: $21.00 - $26.44 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Experience level:

• 1 year
• 2 years

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Hybrid work
• Office

Ability to Relocate:

• Portland, OR 97222: Relocate before starting work (Required)

Work Location: Hybrid remote in Portland, OR 97222