Billing Specialist

Job Title: Billing Specialist
Reports To: Billing Office Manager
Location: Grants Pass, Oregon – 557 NE Westbrook Way B
Job Type: Full Time
FLSA Status: Non-Exempt
Pay Range: $18.35-$25.00/hour DOE
Schedule: Monday-Friday 8:00 AM -5:00 PM

Job Summary:
Join our team as a Billing Specialist! Play a key role in keeping our billing operations running smoothly by posting patient and insurance payments, resolving insurance denials, and managing aging reports to ensure timely and accurate reimbursement.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Prepare, review, and process insurance claims, including Medicare, Medicaid, and private insurance.
• Review Explanation of Benefits (EOBs), resolve denials, and resubmit claims to maximize reimbursement.
• Receive and accurately post patient and insurance payments.
• Verify claims, process adjustments, and issue refunds in accordance with established protocols.
• Prepare patient billing statements and maintain accurate account records.
• Monitor reimbursement trends, payment discrepancies, and claim delays, recommending corrective actions as needed.
• Address patient billing concerns and respond to inquiries from patients, providers, and insurance companies.
• Scan and maintain billing documents and records.
• Participate in required meetings and trainings, sharing relevant information with team members.
• Maintain confidentiality, professionalism, punctuality, and ethical conduct in accordance with organizational policies.
• Performs other duties as assigned.

Working Conditions:

• Work Environment: Primarily office based. Interactions with patients, families, staff, and community partners, including individuals experiencing stressful circumstances. May have exposure to airborne or blood-borne pathogens and hazardous materials. Uses computers, telephones, electronic health records, and standard office equipment.
• Physical Demands: Ability to stand, walk, sit, bend, reach, push, carry, and lift as required to perform job duties. Ability to maintain physical mobility throughout the clinic. Vision and hearing must be within functional range, with corrective devices as needed.

Required Education and Experience

• Education:
  • High School Diploma or equivalent GED.
• Experience:
  • Minimum six months related experience required.

Knowledge & Skills

• Proficiency in computer applications, including word processing, data entry, and Excel.
• Knowledge of accounts receivable, medical and dental billing procedures, coding, and terminology.
• Familiarity with clinic policies, procedures, and operations.
• Strong customer service and communication skills, with the ability to work effectively with diverse groups in a fast-paced, high-stress environment.
• Excellent organizational, time-management, and prioritization skills.
• Ability to analyze information and follow established procedures.

Comprehensive Benefits Package

At Siskiyou Community Health Center, we’re committed to supporting the health, financial well-being, and work-life balance of our employees. Our comprehensive benefits package includes:

• Medical, Dental & Vision Insurance
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• 403(b) Retirement Plan & Retirement Savings Opportunities
• Paid Time Off, Holiday & Paid Sick Time
• Family Leave
• Employee Assistance Program (EAP)
• Life Insurance
• Employer paid Mercy Flights Membership
• Tuition Reimbursement & Professional Development Support
• Mileage Reimbursement

Pre-Employment Requirements: Employment is contingent upon successful completion of a post-offer background check, employment verification, and drug screening. The drug screening must produce a negative result for marijuana and other substances prohibited by the organization’s drug-free workplace policy.

At-Will Employment: Siskiyou Community Health Center is an ‘At-Will’ employer. Nothing in this job description should be interpreted as an employment contract.

Siskiyou Community Health Center is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable federal, state, or local laws.

Salary : $18 - $25