Medical Billing and Coding Specialist

At Grants Pass Clinic, our mission is to provide high-quality healthcare with compassion, integrity, and professionalism. We are seeking a dedicated, detail-oriented Medical Billing Specialist to join our Business Office team. In this role, you will be a vital link in our revenue cycle, ensuring accurate financial processing so our clinic can focus on what matters most: exceptional patient care.

Job Summary

The Medical Billing Specialist is responsible for collecting and processing payments for medical procedures and services. This role determines appropriate billing codes, submits insurance claims, and resolves denied or rejected claims to ensure accurate and timely reimbursement. Operating with limited supervision, you will establish daily work priorities based on departmental needs and established compliance procedures.Key Responsibilities

• Claims Management: Process patient information to prepare and submit insurance claims electronically or via paper. Monitor claim lifecycles to ensure timely reimbursement.
• Denials & Appeals: Review denied or rejected claims, perform necessary coding corrections, execute error resolution, and prepare insurance reconsiderations or appeals.
• Payment & Charge Posting: Receive, review, and post payments and charges within the Practice Management (PM) system. Import data seamlessly from the Electronic Health Record (EHR) and Laboratory Information System (LIS).
• Account Follow-Up: Identify delinquent insurance accounts, verify patient eligibility/benefits, and initiate corrective follow-up activities. Resolve overpayments, misdirected payments, and credit balances.
• Authorizations & Compliance: Obtain referral authorizations from insurance companies and track them within the EHR/PM systems. Maintain up-to-date knowledge of Medicare regulations and commercial payer requirements.
• Patient & Staff Support: Provide courteous, professional assistance regarding billing inquiries, claims, and insurance coverage. Report data integrity or compliance concerns promptly to leadership.

Qualifications

• Education: High school diploma or equivalent combination of education and experience.
• Experience: Previous experience working in a medical office or healthcare billing environment.
• Technical Skills: Proficiency with Electronic Health Records (EHR) and Practice Management (PM) systems. Demonstrated competence in standard computer software.
• Industry Knowledge: Strong familiarity with CPT, HCPCS, and ICD-10 coding systems, as well as Medicare regulations.
• Core Competencies: Excellent verbal and written communication skills (grammar, spelling, and punctuation). Strong organizational abilities to handle a shifting workload and multiple priorities.
• Compliance & Professionalism: Strict adherence to HIPAA security and privacy regulations. Ability to maintain total confidentiality and align with company standards for attendance and professionalism.

Physical Demands & Workplace Environment

• Ability to sit for extended periods with occasional bending, stooping, and stretching.
• Manual dexterity to routinely operate keyboards, mice, telephones, and other basic office machinery.
• Visual and auditory acuity within normal working parameters.
• Ability to occasionally lift and carry office supplies or files weighing up to 50 pounds.
• Ability to adapt smoothly to changing priorities and manage routine workplace stress.

Pay: $20.54 - $23.12 per hour

Expected hours: 40.0 per week

Benefits:

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

Work Location: In person

Salary : $21 - $23