Billing Specialist

Disability Accommodation:
If you are unable to complete this application due to a disability, contact this employer at recruiting to ask for an accommodation or an alternative application process.

Options Counseling and Family Services, founded in 1991 in Florence, Oregon, has since expanded to serve fourteen counties in western Oregon. Headquartered in Eugene, we provide quality mental health and family preservation services to diverse communities. Committed to supporting health, safety, and empowerment.

Options offer these benefits to our full-time employees (full-time is any employee working 30 hours per week): company-paid health/vision and dental, long-term disability, and life insurance. For a full list of all benefits, please view our website: (Use the "Apply for this Job" box below)..

Studies have shown that women and people of color are less likely to apply for jobs unless they believe they have every one of the qualifications as described. We are most interested in finding the best candidate and our hiring processes are centered on assessing candidates based on diverse experience. Please let us know if you have questions.

As a Billing Specialist, you will be responsible for the weekly billing of Oregon Health Plan (OHP) Medicaid Open Card or Coordinated Care Organization (CCO) and private insurance claims. Your duties include researching failed claims and denials, entering data into various accounting systems, and verifying eligibility and insurance authorizations. You will regularly perform functions within the Options electronic client records (ECR), external systems and clearinghouses, and other internal accounting systems and software.

• Minimum of a high school education and one year of billing experience, or a comparable combination of education and experience.
• Strong computer skills, including proficiency with Microsoft Excel and Word.
• Commitment to Options’ core values of inclusion and respect, collaboration, transparency, outcome-based services, and flexibility.

• Experience with an electronic medical record.
• Experience in mental health and/or healthcare billing.

• Verify eligibility and obtain authorizations for new clients.
• Obtain re-authorizations and close authorizations when needed.
• Open new clients by verifying and entering payer information and authorization information in the electronic medical record.
• Discharge clients in the ECR record and close authorizations when needed.
• Work with relevant clinical staff & supervisors and ECR support team members on higher-level ECR issues pertaining to billing/admin set up and logistics.
• Troubleshoot and follow-up on various ECR issues pertaining to higher-level failed claims.
• Track claims flow – assure that claims are moving in a timely manner through the ECR and troubleshoot any issues.
• Maintain and update payer plan fee matrixes as fee schedules are updated – troubleshoot the failed claims that arise from new fee schedules.
• Coordinate with ECR support staff to assist in completion of new contract set up in ECR – including (as needed), but not limited to: payer entry, payer plan fee matrix entry, procedure code entry, activity entry/creation, activity mapping, and program creation and linking/linkage.
• May assist Quality Improvement (QI) Department on new provider set up and credentialing as it impacts billing.
• Build claim batches and submit the OHP and DMAP billings electronically.
• Perform accounts receivable processing in the electronic medical record.
• Reconcile OHP Coordinated Care (CCO) and private insurance remittances.
• Research payment differences.
• Correct cash sheets for sliding scale and private pay.
• Build claim batches for utilization data and submit monthly invoices with case rates for ICTS clients.
• Bill private insurance payers and track deductibles and copays.
• Reconcile remittances, research payment differences and make corrections on claims from remittances received.
• Follow up collateral (secondary) authorizations and pending authorizations.
• Bill private insurance, track deductibles and copays, and send out delinquency notices.
• Research…