Billing Specialist - Ancillary Services - AD280

Native American Rehabilitation Assoc. of the NW•Portland, OR

2d•$23 - $28•Onsite

About The Position

This position supports Accounts Receivable functions for ancillary services, including Dental and Residential. Responsibilities include following up on unpaid claims, resolving denied and rejected claims, verifying eligibility, and posting payments accurately. The Ancillary Services Billing Specialist works across programs to reduce accounts receivable aging and ensure timely reimbursement, utilizing Athena Practice as the primary EHR and billing system to maintain consistent revenue cycle workflows.

Requirements

High School Diploma or General Education Diploma required.
Minimum of 2 years medical or dental office billing experience required.
Experience with Oregon and Washington Medicaid, Medicare, and managed healthcare, and commercial third-party insurance.
Intermediate to advanced proficiency with MS Office applications.
Highly proficient in the use of practice management software, Athena Practice preferred.
Demonstrates a high level of accuracy and attention to detail.
Demonstrates knowledge of HIPAA regulations and patient confidentiality.
Knowledge of medical and dental terminology.
Skilled in basic math and knowledge of general accounting procedures.
Knowledge of customer service principles and practices.
Proficient in data entry and data management.
Ability to operate a 10 key and type 35 wpm.
Ability to operate Zoom Workspace.
Ability to maintain professional boundaries with clients, the community, and other staff members.
Works collaboratively with clients, other NARA staff, and team members and treats everyone with respect and dignity at all times.
Ability to pass pre employment or for cause drug tests.
Ability to pass criminal background and DMV checks

Nice To Haves

Medical or Dental Billing Certificate preferred.
Experience with CPT, ICD 10, and HCPCS preferred.
Experience working with Native American/ Alaska Native community is considered a plus.

Responsibilities

Follows up on outstanding accounts receivable within assigned aging buckets to reduce unnecessary aging.
Reviews explanation of benefits to identify payment discrepancies and denial reasons.
Researches, corrects, and resubmits denied or rejected claims as appropriate.
Reviews billing charges for accuracy, including procedures, modifiers, and claim allocations, and corrects errors prior to resubmission or secondary billing.
Routes and files billing batches according to established workflow.
Verifies insurance eligibility, including Oregon and Washington Medicaid and Medicare, using payer websites and online tools.
Identifies and addresses coverage issues to reduce avoidable denials.
Bills secondary carriers when applicable.
Creates and processes invoices as required.
Submits and files claims to Oregon and Washington Medicaid and commercial third-party insurance.
Processes payments, refunds, and bad debt write off tickets in accordance with policy and documentation standards.
Maintains clear, traceable documentation of accounts receivable activity in work tickets within Athena Practice.
Reviews billing and accounts receivable reports related to assigned work within Athena Practice.
Collaborates with Dental, Residential, and Billing staff to resolve claim and payment issues.
Maintains proficiency in Athena Practice and other required systems.
Assists with revenue cycle tasks as assigned, including charge entry and coding support when needed.
Performs other duties as required to support departmental operations
Performs other duties as assigned.

Benefits

Employees working 20 hours, or more are eligible for benefits. Benefits are effective from the 1st of the month following the date of hire.
Affordable Medical, Dental, and Vision Insurance through Kaiser Permanente
14 Paid Holidays: New Years Day, Martin Luther King Jr. Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples’ Day, Veterans Day, Thanksgiving, day after Thanksgiving, and December 25th!
13 Paid Days of Sick Time
13 Paid Days of PTO (Vacation accruals increase with years of service to a maximum of 26 days)
$50,000 Life Insurance & AD&D
Short Term and Long-Term Disability
Flexible Spending Account
Health Spending Account
401(k) with 4% Match
Employee Assistance Program
Inclement Weather Days (Snow Days)
Public Student Loan Forgiveness -NARA NW is a local 501(c)3 nonprofit, FQHC