Accountant - Medical Billing Specialist

Accountant 1 – Medical Billing Specialist

Location:

Salem, OR – Equitable Center (Hybrid role; base in Salem, remote flexibility with office days)

Salary: $4,519.00 - $6,904.00 (State range)

Job Summary
:
Put your medical billing expertise to work for Oregon’s youth. The Oregon Youth Authority (OYA) is hiring an Accountant 1 – Medical Billing Specialist to manage Medicaid billing and reimbursement that directly funds treatment and services for youth in our care. This hybrid role handles Medicaid Management Information System (MMIS) billing, Title XIX eligibility reviews, and remittance reconciliations, ensuring accurate, compliant, and timely claims.

• Review and verify medical billing codes and reimbursement rates for payments to providers.
• Track and maintain records supporting reimbursement claims, ensuring accuracy, completeness, and compliance with audit requirements.
• Review and analyze remittance advice from the Oregon Health Authority (OHA) to verify accuracy of paid and denied claims, identify discrepancies, and ensure compliance with Medicaid billing and reimbursement requirements.

Minimum Qualifications (choose any that apply):

• Possession of a Certified Public Accountant or Certified Government Financial Manager certificate.
• Bachelor’s degree in accounting.
• Successful completion of the State of Oregon Accounting Career Mobility Program or equivalent accounting certificate program from an accredited college or university.
• 32 quarter (21 semester) credit hours in Accounting from an accredited institution AND two years of technical, para‑professional accounting experience including:
• classifying, analyzing, and reconciling financial data and records;
• designing, recommending, and installing modifications of accounting methods, procedures, forms, and records;
• preparing financial statements and reports;
• analyzing and interpreting laws, regulations, codes, and ordinances to ensure the legality of financial transactions;
• analyzing, interpreting, and making recommendations related to accounting transactions, accounts and account relationships resulting in accounting entries.

• Ability to work with diverse groups of internal clients.
• Excellent attention to detail and number typing accuracy.
• Proficiency in Excel and other relevant software (e.g., ORMB, Epic Tapestry Membership, SharePoint).
• Knowledge of ICD‑9/ICD‑10, HCPCS, CPT coding conventions.
• Ability to work to tight deadlines in a fast‑paced environment.
• Maintain professionalism, confidentiality, and objectivity under pressure.
• Knowledge of medical terminology and regulations on confidentiality of medical records (HIPAA).
• Understanding of basic principles of governmental accounting and financial reporting.
• Apply accounting theory to solve or evaluate solutions to problems and document and communicate the application of theory.
• Remain current with capabilities of various software applications and participate in training/education sessions.

• Experience with HIPAA requirements for information handling.
• Experience with medical billing, including reviewing HCFA forms and ICD‑10 coding.
• Experience with Medicaid billing requirements, specifically related to Title XIX program.
• Experience with financial reconciliations.
• Problem‑solving and critical thinking skills.
• Reliable follow‑through and clear, professional communication with internal and external partners.

• Competitive state benefits.
• Meaningful public‑service work.
• Team grounded in integrity, professionalism, and equity.

OYA is an equal opportunity and affirmative action employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be individualized based on merit, competence, performance, and business need. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.