Medical Billing and Collections Specialist

About Company:

Fanno Creek Clinic is state certified, tier 3 patient-centered primary care home located in Southwest Portland, Oregon. We serve a diverse adult patient population and offer high quality primary health care together with the convenience of on-site specialists, lab, X-ray, ultrasound, screening mammography, and echocardiology services. Owned by both the physicians and staff members, we collectively strive to create an environment that supports providing personalized, patient-centered health care.

About the Role:

The Medical Billing and Collections Specialist plays a critical role in ensuring the financial health and operational efficiency of healthcare services by managing the accurate processing of patient billing and timely collection of payments. Responsible for effectively managing accounts receivable and following up on outstanding payments, this role directly contributes to the organization's ability to provide quality care. 

Minimum Qualifications:

• High school diploma or equivalent required; Associate degree or higher in healthcare administration or related field preferred.
• Minimum of 1-2 years experience in medical billing and collections within a healthcare setting.
• Proficiency with medical billing software and electronic health record (EHR) systems.
• Strong understanding of medical coding, insurance claim processes, and healthcare reimbursement policies.
• Excellent communication skills to interact effectively with patients, insurance companies, and healthcare staff.
• Familiarity with federal and state healthcare regulations including HIPAA compliance.

Preferred Qualifications:

• Certification such as Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS).
• Prior experience in a primary care setting. 

Responsibilities:

• Reviews and monitors patient account balances.
• Contacts patients whose accounts are in arrears either via phone or collection letter(s).
• Process credit/debit card payments by phone.
• Posts and balances patient payments to practice management system.
• Establishes payment plans for patients and monitors payment plans on a regular basis.
• Submits delinquent accounts to collection agency in accordance with FCC collection policies and procedures.
• Notifies and communicates with collection agency about bankruptcy notices.
• Establishes payment options for private pay patients prior to appointment.
• Answers incoming calls to the billing office and resolves patient billing issues as needed either in person or over the phone.
• Communicates with providers and other team members in a clear and concise manner.
• Attends meetings as required.
• Utilizes, learn and train staff in clinic’s software applications as appropriate.
• Follows all office policies and procedures either written or verbal.
• Understands and supports the office’s HIPAA privacy practices. Maintains strictest confidentiality.
• Participates in professional development activities maintains professional affiliations and promotes staff interactions.
• Performs other duties as assigned.

Skills: