Medical Biller

Medical Billing Specialist – Healthcare Operations

Location: Hillsboro, OR

Pay Rate: $32.00/hour

Schedule: Monday – Friday | 8:00 AM – 5:00 PM

Specialized Recruiting Group (SRG) is partnering with a local healthcare organization to hire an experienced Medical Billing Specialist to support centralized billing operations in Hillsboro, Oregon. This position is based in one location and processes billing for multiple clinic sites.

These clinics serve the public while also functioning as training environments for health professionals, creating a collaborative and fast‑paced healthcare setting. This role is responsible for ensuring accurate claim submission, resolving billing issues, and coordinating with insurance providers to secure appropriate reimbursement. The ideal candidate will bring strong healthcare billing experience, knowledge of insurance guidelines, and proficiency working with electronic medical record systems.

• Review and submit accurate insurance claims to Medicare, Medicaid, commercial, and private insurance carriers, ensuring all required information is complete and compliant.
• Verify patient demographics, insurance coverage, coding accuracy, and billing details prior to claim submission.
• Review and interpret Explanation of Benefits (EOBs) and apply appropriate claim adjustments.
• Maintain knowledge of insurance payer policies, billing procedures, authorizations, and reimbursement limitations.
• Ensure all billing activities comply with HIPAA regulations and healthcare billing standards.

• Monitor claim status and follow up with insurance companies on unpaid, delayed, or rejected claims within established timelines.
• Investigate and resolve claim discrepancies, billing errors, denials, exclusions, or exceptions, and take corrective action to ensure accurate reimbursement.
• Conduct outbound communication with insurance companies to verify coverage and resolve claim issues.

• Communicate with insurance providers, internal teams, and patients regarding billing inquiries, claim issues, or disputes.
• Provide professional customer service related to billing questions, insurance benefits, coverage details, and payment responsibilities.
• Communicate with internal stakeholders and clinic staff regarding denied or delayed claims and required updates.

• Maintain detailed documentation of claim activity, follow-ups, and resolution outcomes.
• Assist with billing reports, reconciliation, and data tracking as needed.
• Use Epic EMR (or a similar EMR system), payer portals, and spreadsheet tools to process and track claims.
• Provide general billing and administrative support to the healthcare operations team as needed.

• Collaborate with internal departments and clinic teams to improve billing accuracy and efficiency.
• Process and manage billing for multiple clinic locations while working from a centralized billing office.
• Perform additional billing and administrative duties as assigned by the hiring manager or healthcare operations leadership.

• 2+ years of healthcare or medical billing experience
• Strong knowledge of Medicare and Medicaid billing processes
• Strong understanding of HIPAA regulations and healthcare compliance requirements
• Experience working with Epic EMR or a similar electronic medical record system
• Proficiency with Microsoft Excel
• Substantial experience with insurance payer portals
• Comfortable communicating with insurance companies to verify coverage, follow up on claims, and resolve billing issues
• Ability to work in a busy clinic environment while maintaining accuracy and attention to detail

• Experience working in healthcare clinics, hospitals, or university medical settings
• Familiarity with medical coding (CPT, ICD‑10, HCPCS)
• Strong problem‑solving and analytical skills
• Ability to manage multiple claims and priorities in a fast‑paced environment
• Professional communication skills and a strong customer service mindset
• Contract assignment through approximately the end of September
• Potential for extension or temp‑to‑hire based on business needs and performance (not guaranteed)
• Employment through The Specialized Recruiting Group (SRG)