Medical Billing Specialist Job Klamath Falls area,Oregon USA,Healthcare

Title: Medical Billing Specialist

Department: Finance

Schedule: Monday-Friday, 7:30 AM - 4:00 PM Plus Hybrid Options AvailableWe are seeking a full-time onsite candidate, and are open to discussing flexible hybrid arrangements for the right individual. Ideally, candidates should be within a reasonable driving distance and able to work in-office at least once per week.

WHAT IS GREAT ABOUT THIS OPPORTUNITY

Vision: Sharing the power of mental wellbeing

Mission: Providing compassionate care throughout our community

Pay & Benefits

$20.00 - $24.00 DOE

KBBH pays up to 92% of insurance premiums for employees and their families.

Benefits Include:

Medical Insurance
Dental Insurance
Vision Insurance
403(b) Retirement Plan with 8% Employer Match
15 Paid Vacation Days (increases with tenure)
Accrued Wellness Days
Life Insurance
Disability Insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Employee Assistance Program (EAP)
Wellness Program
Employee Discounts
Tuition Reimbursement Program
Employee Scholarship Program
Certified Student Loan Forgiveness Work Location

Help ensure clients can access care by making the billing process accurate, efficient, and seamless.

We are seeking a detail-oriented Medical Billing Specialist who takes ownership of results and delivers exceptional service. In this role, you'll support both our clients and our organization by ensuring claims are processed accurately, reimbursements are collected promptly, and accounts are managed professionally and compliantly.

Success is measured through achievement of established productivity, quality, accuracy, compliance, and customer service standards while contributing to a respectful, collaborative workplace.

Hybrid Off-Site Work Requirements

This position is approved for hybrid work within Oregon.

Employees must maintain:

A dedicated, private workspace that supports confidentiality and HIPAA compliance.

Reliable high-speed internet capable of supporting video conferencing and cloud-based systems.

Professional availability during established business hours.

The ability to participate in virtual meetings, training, and collaboration activities using agency-provided technology.

Residency within Oregon service area.

What Success Looks Like

In this role, you will:

Submit accurate, timely claims for commercial insurance, Medicaid, Medicare, and client-pay accounts.

Resolve denied, unpaid, and underpaid claims to maximize reimbursement.

Maintain clean accounts receivable and proactively reduce aging balances.

Provide responsive, professional support to clients regarding billing and account questions.

Consistently meet productivity, quality, compliance, and customer service expectations.

Partner effectively with internal teams, payers, and external stakeholders to improve outcomes and processes.

Key Responsibilities

Billing, Claims & Reimbursement

Submit and manage billing for commercial insurance, Medicaid, Medicare, and direct-pay accounts.

Investigate and resolve denied, unpaid, and underpaid claims.

Process service authorizations and support timely reimbursement for approved services.

Manage follow-up, collections, and denial resolution activities while meeting established performance standards.

Accounts Receivable Management

Post payments, reconcile accounts, process refunds, prepare statements, and support month-end activity.

Monitor aging reports and perform collection activities in accordance with agency policies.

Communicate account status, reimbursement trends, and collection efforts as needed.

Client Billing Support

Process financial assistance applications and verify eligibility.

Respond to billing inquiries with professionalism, empathy, and accuracy.

Escalate complex account issues for additional review when necessary.

Compliance & Reporting

Maintain accurate billing, reimbursement, collections, and financial records.

Ensure compliance with federal, state, payer, and agency requirements.

Protect confidential client and organizational information in accordance with HIPAA and agency policies.

Team & Organizational Contribution

Participate in meetings, training, and professional development activities.

Stay current on billing regulations, reimbursement requirements, and industry changes.

Contribute to process improvement initiatives that enhance efficiency, service quality, and compliance.

Demonstrate professionalism, accountability, integrity, and respect in all interactions.

Preferred Qualifications

Two or more years of medical billing and coding experience, preferably in behavioral health, mental…