Lead Medical Billing Specialist

About Arise Counseling Service

Arise Counseling Service is a dynamic group practice for Counseling and Psychotherapy with locations in Eugene, Albany, and Salem, Oregon. We intend to offer a broad spectrum of behavioral health care for individuals, couples, and families. We are invested in supporting our clients in a professional, efficient, and compassionate way and want to make a difference in their lives and help improve the health and wellness of our communities.

We also care deeply about our team and offer a warm and supportive work environment, with a focus on a healthy, balanced life. We enjoy working in a collaborative relationship and are most focused on finding the best fit for additions to our team.

Job description

We are seeking a motivated and skilled Medical Billing Specialist and Lead for our Albany location. The Medical Billing Lead will work under the direction of the Director of Operations. The ideal candidate will possess a strong understanding of medical billing, medical claims resolution, and the appeal process. We are looking for someone who not only enjoys investigating and resolving complex billing processes but also brings a hopeful outlook to challenges. This is not a remote position.

Arise is open between 8 AM and 6 PM; work hours will be discussed and decided in collaboration with other team members and are dependent on business needs.

Key Responsibilities including but not limited to:

• Understand the claims process for electronic medical claims and ensure they are processed in accordance with payer guidelines and policies.
• Resolve claim denials, underpayments, and discrepancies through analysis and effective communication.
• Work with insurance companies and healthcare providers to correct claim issues and ensure reimbursement.
• Submit and track appeals for denied claims, ensuring timely follow-up and resolution.
• Ensure compliance with payer requirements and HIPAA regulations.
• Prepare and maintain accurate documentation of claims and appeals activities.
• Collaborate with internal teams and payers to resolve billing issues.
• Assist in identifying trends in claim rejections and denials to implement preventive measures.
• Collect payments from clients
• Communicating with clients regarding outstanding balances and executing payment plans
• Trains and leads a team of 1-2 medical billers, and trains team members (reception and intake) on Insurance verification
• Calculate payroll numbers for therapists per client billing hours
• Payroll review for clawbacks and corrections
• Answer the therapist's questions about payroll numbers
• Coordinate with HR regarding payroll matters
• When needed, attend the front desk, answer the phone at the Arise office, and answer questions or direct phone calls and messages
• When needed, Greets clients upon arrival and answers client questions regarding scheduling, therapist availability, office procedures, and HIPAA compliance
• Records and updates the financial information in client medical charts
• When needed, schedules or reschedules, and coordinates patient appointments to optimize client satisfaction and facility efficiency
• Foster and maintain positive, professional relationships with team members.
• Approach challenges with a hopeful and solution-oriented mindset, even when faced with setbacks.
• Contribute to a positive and supportive work environment.
• Enjoy and take pride in investigative processes, demonstrating a natural curiosity and joy in problem-solving.
• Respond to the team and Insurance, communicate in a timely and professional way
• Have no other obligations during working hours.
• Word processing, filing, information research, shredding, faxing, keeping reception HIPAA compliant, and completing any and all clerical functions
• Attend ongoing training and courses to keep up to date on new developments in health care, health insurance, and medical billing
• Comply with organizational guidelines and health care laws and regulations
• Assist in keeping the office organized and running smoothly
• Maintain total confidentiality of personal and financial data

Skills

• Proven experience in medical billing and claims resolution (3 years preferred)
• In-depth knowledge of medical insurance, medical terminology, and the claims process.
• Experience with medical billing software and electronic claims submission platforms.
• Ability to analyze and resolve complex billing and claims issues.
• Knowledge of medical appeal processes and the ability to draft and submit appeals effectively.
• Experience with billing OHP and Medicare
• Leadership/Supervisory experience required
• Excellent skills with Google Drive and Microsoft Office/Excel.
• Detail-oriented with excellent organizational skills.
• Strong communication skills, both written and verbal.
• Ability to work independently and meet deadlines.
• Strong interpersonal skills with an ability to build positive working relationships and collaborate with team members.
• A positive, optimistic outlook, especially when faced with difficult claims.
• Interest in fostering a supportive work culture.

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $22 - $26