Medical Billing Specialist

Vision

Sharing the power of mental wellbeing

Mission

Providing compassionate care throughout our community

Pay & Benefits

• $20.00 - $24.00 DOEKBBH 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

Success

• Submit accurate, timely claims for commercial insurance, Medicaid, Medicare, and client-pay accounts.
• Investigate and resolve denied, unpaid, and underpaid claims to maximize reimbursement.
• Manage follow-up, collections, and denial resolution activities while meeting established performance standards.
• Post payments, reconcile accounts, process refunds, prepare statements, and support month-end activity.
• Maintain clean accounts receivable and proactively reduce aging balances.
• Provide responsive, professional support to clients regarding billing and account questions.
• Escalate complex account issues for additional review when necessary.
• 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.
• 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.

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.

Qualifications

• Two or more years of medical billing and coding experience, preferably in behavioral health, mental health, substance use disorder treatment, community mental health, or psychiatric services.
• Working knowledge of CPT, HCPCS, ICD-10-CM coding, modifiers, authorizations, and payer reimbursement requirements.
• Experience billing Oregon Medicaid behavioral health services and Medicare mental health services strongly preferred.
• Knowledge of accounts receivable management, reimbursement practices, and collections.
• Experience with electronic health record (EHR) systems and Microsoft Office applications.
• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Able to build and maintain effective relationships with clients, coworkers, insurance representatives, and external partners.

Preferred Qualifications

• Knowledge of accounts receivable management, reimbursement practices, and collections.
• Experience with electronic health record (EHR) systems and Microsoft Office applications.
• Strong written and verbal communication skills.
• Excellent organizational skills and attention to detail.
• Able to build and maintain effective relationships with clients, coworkers, insurance representatives, and external partners.

Why Join Us?

We believe strong financial operations support exceptional client care. You'll join a team that values collaboration, respect, accountability, and continuous improvement while doing work that directly supports access to behavioral health services.

Other Considerations

• Klamath Basin Behavioral Health celebrates diversity and is committed to creating inclusive and equal access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and veteran's status.
• Our employment decisions are based on qualifications, merit, and agency need.