Billing Specialist

Billing Specialist

Department/Program: Finance
Reports To: Contracts and Billing Supervisor
Status: Non-Exempt     
Pay Grade: Level D

• Process timely and accurate authorizations for patient services.
• Ensure claims are processed timely and with correct data points.
• Support identification of issues and implementation of corrective actions/process changes.
• Manage the Accounts Receivable aging to ensure outstanding balances are rectified in timely manner.
• Identify basis for denied claims, develop and communicate internal and/or external corrective actions, and resubmit claims where appropriate.
• Apply payments to clients’ accounts in a timely manner adhering to the month end cutoffs.
• Develop client statements and upon clinician request communicate client balance in a timely manner.
• Complete billing audits as required
• Participate in ad-hoc projects related to billings, collections or denials.
• Participate in billing and/or intake related meetings as necessary and offer advice/perspective as it relates to billings and authorizations.

• Coding certification
• Electronic Health Record systems
• Billing Clearinghouse knowledge
• Calling or inquiring electronically with insurance companies to assess claim status
• Diagnosis, billing codes and modifiers
• Account receivable aging

• Advanced knowledge of coding, modifier usage and denial reason codes
• Proficient in Microsoft Office applications, especially Excel
• Proficient in web-based insurance portals and billing clearinghouses
• Proficient in electronic health systems
• High level of verbal and written communication skills
• Strong organizational skills and attention to detail
• Ability to maintain confidentiality of sensitive information and documents
• Proven ability to prioritize responsibilities to ensure that they are completed in a timely manner

• DHS Background Check Approval
• Successful completion of Drug Test upon hire
• Documentation of Tuberculin test and/or evaluation with negative results or evidence of non-communicability

• This position has the potential to work remotely after the initial 90 days and upon supervisor approval.

HOURS AND PAY

This is a full time position earning $21.69-22.34 per hour (depending upon experience). This position is non-exempt and eligible for overtime compensation.

INTERNAL CANDIDATES: click here to apply via the employee intranet site

ABOUT FORA HEALTH

Looking for a meaningful career? At Fora Health, we employ a team of passionate, diverse and caring people who are committed to carrying out our mission to provide treatment, care and advocacy for all who are affected by substance use disorder. We are seeking dedicated individuals to join our experienced team of professionals in the fight to overcome the stigma of addiction and mental health. Come join one of Oregon’s largest and most reputable providers of substance use disorder and co-occurring mental health treatment for adults!

Fora Health is committed to providing a wide range of accessible, coordinated, and well-integrated services that benefit the community and support our clients to recover and to maintain recovery from addiction. To maintain an organizational culture which supports Fora's mission, each employee will, at a minimum:

1. Have knowledge of substance use disorders.
2. Recognize the importance of family, social networks, and community systems in the treatment and recovery process.
3. Respect the diversity and uniqueness of all people.
4. Recognize that a healthy work environment is maintained through the practice of mutual respect and healthy self-care.
5. Uphold the highest standard of customer service to clients, referents, and all community partners.

BENEFITS

• Kaiser medical insurance
• Comprehensive dental and vision insurance
• Employer-paid basic life and accidental death & dismemberment insurance
• Additional voluntary insurance (short-term disability insurance, supplemental group life insurance, accident & critical illness insurance, and pet insurance)
• Flexible Spending Account (FSA) for healthcare, dependent care and transportation costs
• 401K plan with Employer Matching up to 6%
• 4 weeks paid vacation, one floating holiday & sick leave
• 10 observed holidays, paid bereavement and paid jury duty days
• Flexible schedules
• Employee Assistance Program
• Discounted 24 Hour Fitness membership from $6.99/month
• One free employee meal on days worked at our Cherry Blossom location
• Online education tools for CEUs
• Critical shift compensation up to double hourly pay rate and shift premiums for certain positions
• Employee referral bonus
• Education grant program reimbursement for continuing education expenses after 90 days of employment
• Loan forgiveness for eligible medical and clinic positions
• Free parking at our two facilities

Employees may be eligible for education grants:

• National Health Service Corps (NHSC)
• NURSE Corps
• Public Service Loan Forgiveness (PSLF)

Fora Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Fora Health encourages applications from those who are in recovery. Please note that we require individuals in recovery to certify that they have at least six months of sobriety for non-patient facing positions or two years of continuous sobriety for patient-facing positions upon hire.

Fora Health is a second chance employer and complies with applicable laws regarding consideration of criminal background for employment purposes. Fora Health conducts a background check for all positions upon offer of employment. Government regulations, contractual requirements, or the duties of certain jobs may require us to take appropriate action to address prior criminal convictions.

Salary : $22 - $22