Billing Support Specialist

Job Type: Full-Time | Non-Exempt Pay: $20.00 – $24.00 per hour

Location:

Tigard, OR (On-Site)

Department:
Billing / Revenue Cycle

Reports To:

Revenue Cycle Manager

AFC Urgent Care Clinics is seeking a dependable and detail-oriented Billing Associate to join our internal Revenue Cycle team at our headquarters in Tigard, Oregon. This is an entry-level position well suited to a candidate who is organized, comfortable with routine daily tasks, and interested in building a career in medical billing.

The Billing Associate provides day-to-day administrative and clerical support to the billing department, with a primary focus on Workers' Compensation (WCOMP) claim submission, payment posting, outgoing mail, and patient billing inquiries. This role works under the direction of the Revenue Cycle Manager and alongside our Billing Specialists, who handle the more complex denial, appeal, and A/R resolution work. Prior medical billing experience is helpful but not required — we will train the right candidate.

This position is based on-site at our Tigard, OR headquarters, Monday through Friday.

• Print paper Workers' Compensation (WCOMP) claims and prepare them for mailing in accordance with payer and office requirements.
• Submit electronic WCOMP claims through the clearinghouse and/or applicable payer portals.
• Sort, assemble, and mail paper HCFA (CMS-1500) claims, itemized statements, and supporting documentation.
• Confirm claims are submitted timely and flag any submission errors or rejections to the Billing Specialist for follow-up.

• Post Electronic Remittance Advices (ERAs) accurately and timely into the practice management (PM) system.
• Post manual/paper checks according to their EOBs, and patient payments, ensuring all batches are balanced and correctly applied to patient accounts.
• Escalate posting discrepancies, unapplied payments, and balancing issues to the Billing Specialist.
• Process patient and payer refunds in accordance with company policy and turn refund requests around promptly.

• Answer patient billing inquiries by telephone and through our patient messaging platform (Collectly) in a professional, courteous, and empathetic manner.
• Explain statement balances, payment options, and basic insurance processing to patients, and route complex questions to a Billing Specialist.
• Set up and document patient payment arrangements consistent with company guidelines.
• Assist with patient accounts placed with our outside collections partner (NW Collections), including account status updates, balance corrections, and recall requests.
• Complete balance verification forms and respond to written balance requests from attorney offices and other authorized third parties.

• Process all incoming and outgoing billing department mail, including sorting, scanning, and distribution.
• Prepare and mail patient statements, refund checks, records requests, and other outgoing office correspondence.
• Maintain billing files, documentation, and supplies in an organized and HIPAA-compliant manner.
• Perform general clerical support for the billing team, including scanning, filing, data entry, and spreadsheet updates.

• Assist the Billing Specialists with WCOMP A/R and claims tasks as assigned, including basic claim status checks and gathering documentation for appeals.
• Document all account activity and patient contacts thoroughly in the PM system.
• Participate in team meetings, training sessions, and process improvement initiatives.
• Perform other related duties as assigned by the Revenue Cycle Manager.

• High school diploma or equivalent.
• Strong attention to detail and accuracy, particularly with numbers and data entry.
• Professional and empathetic phone and written communication skills.
• Ability to follow established processes consistently and manage repetitive daily tasks reliably.
• Basic computer proficiency, including Google Workspace (Google Docs, Google Sheets, Gmail).
• Ability to maintain patient confidentiality and comply with HIPAA regulations.
• Ability to reliably commute to and work on-site at our Tigard, OR headquarters.

• 6 months to 2 years of experience in a medical office, billing, or administrative support role.
• Exposure to Workers' Compensation billing, claim submission, or payment posting.
• Familiarity with a practice management or EHR system.
• Experience with payer…