Job Title: Billing and Administrative Specialist
Location: Portland, OR
Salary Range: $16/hr.
Founded in 2004, Bridges to Change is a mission driven agency with a focus on addictions recovery both in the clients we serve and in providing meaningful employment for individuals in recovery. In partnership with county and other community organizations, Bridges to Change serves individuals and families experiencing homelessness, addictions, mental health and poverty across five counties in Oregon.
The Billing and Administrative Specialist is responsible for the day-to-day tasks of behavioral health services billing cycle. This includes verifying eligibility, requesting authorizations from insurance companies, charge posting, charge reconciliation, payment posting, denial management, and accounts receivable follow-up. Additionally, duties will include front desk administration for BTC’s Grounded Transitions program, an intensive outpatient treatment center for adults.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Timely review and accurate coding of all client services
- Prepare and submit claims to various insurance companies either electronically or by paper.
- Charge entry and encounter reconciliation
- Assist management with weekly and monthly tracking, reconciliation and reporting
- Maintain current working knowledge of Medicare and Medicaid billing regulations and requirements.
- Provide guidance, assistance, and training on appropriate coding procedures
- Post payments from payers, including reconciliation to daily totals
- Obtain authorization for service from payers as needed, including coordinating with direct service staff to get required documentation
- Review of underpayments and denials, research and correct errors to maximize reimbursement.
- Follow-up with payers on unpaid claims to ensure a reasonable Accounts Receivable balance
- Ensure all work done is compliant with all billing rules and regulations, including Medicare, Medicaid, and payer contracts
- Participate in the coding and billing audit process
- Adhere to all HIPAA guidelines/regulations
- Preparing daily urinary analysis requisition forms
- Answering phone calls from community partners and scheduling screenings and intakes
- Completing intake paperwork with new clients
- Data entry and document scanning as necessary
- Office supply ordering and pick up
- Other duties as assigned
- Experience in healthcare billing and coding (CPT, ICD-10), preferably 1 to 3 years.
- Knowledge of Oregon Health Plan, including managed care plans, and Certification as a Professional Coder (CPC) preferred.
- Preferred Billing Experience: FQHC, Behavioral Health, and Substance Abuse
- Experience with electronic medical records
- Exceptional interpersonal verbal and written communication skills; organizational skills; high degree of accuracy; flexibility, ability to multi-task and prioritize effectively in a team environment
- Successful experience with Microsoft Word, Excel and Outlook
• The ability to lift, carry or otherwise move objects of up to 25 pounds on a regular basis, and occasionally up to 50 pounds is also necessary
Generous paid time off
Employer paid medical, life insurance, and short-term disability insurance
Voluntary dental, vision and long-term disability insurance options
403b retirement with 3% company match
Access to employee assistance program
Two paid volunteer days per year
Please email cover letter and resume to email@example.com and reference the Job Title in the subject line.
Bridges to Change is an equal opportunity employer and is committed to providing a work environment that is free of harassment and discrimination. Bridges to Change provides equal employment opportunity to all qualified employees and applicants without regard to race, color, religion, sex, sexual orientation, pregnancy, gender identity, national origin, ancestry, age, marital status, physical or mental disability, genetic information, medical condition, veteran status, or any other class protected by local, state, or federal law. Equal employment opportunity will be extended to all persons in all aspects of the employment relationship—including but not limited to recruitment, hiring, compensation, promotion, demotion, transfer, disciplinary action, layoff, and termination of employment.