Accountant 1 - Medical Billing Specialist

About the role

The Oregon Youth Authority (OYA) is seeking an Accountant 1 – Medical Billing Specialist to manage Medicaid billing and reimbursement for youth in our care. This role is hybrid, based in Salem, and involves managing MMIS billing, Title XIX eligibility reviews, and remittance reconciliations.

Responsibilities

• 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.

Requirements

• Possession of a Certified Public Accountant (CPA) or Certified Government Financial Manager (CGFM) certificate.
• A bachelor’s degree in accounting or 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.
• 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.
• Ability to maintain professionalism, confidentiality, and objectivity under pressure.
• Knowledge of medical terminology and regulations on the confidentiality of medical records (HIPAA).
• Understanding of basic principles of governmental accounting and financial reporting.
• Ability to apply accounting theory to solve or evaluate solutions to problems and to document and communicate the application of theory.
• Must remain current with the capabilities of various software applications as well as other aspects of the profession by attending training/education sessions.

Qualifications

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