Accountant 1 - Medical Billing Specialist

State of Oregon•Salem, OR

5d•$4,519 - $6,904•Hybrid

About The Position

The Oregon Youth Authority (OYA) is hiring an Accountant 1 – Medical Billing Specialist to manage the Medicaid billing and reimbursement that directly funds treatment and services for youth in our care. This is a hybrid role based in Salem to handle Medicaid Management Information System (MMIS) billing, Title XIX eligibility reviews, and remittance reconciliations, making sure every claim is accurate, compliant, and timely. We are looking for someone who pairs hands-on billing and coding experience (ICD-10, CMS-1500/HCFA, HIPAA) with a foundation in accounting. If you have healthcare revenue-cycle experience plus accounting coursework — or an accounting credential and the drive to master Medicaid billing — we want to hear from you. OYA offers competitive state benefits, meaningful public-service work, and a team grounded in integrity, professionalism, and equity.

Requirements

Possession of a Certified Public Accountant or Certified Government Financial Manager certificate; OR 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; OR 32 quarter (21 semester) credit hours in Accounting from an accredited institution AND two years of technical, para-professional accounting experience to include: a) classifying, analyzing, and reconciling financial data and records; b) designing, recommending, and installing modifications of accounting methods, procedures, forms, and records; c) preparing financial statements and reports; d) analyzing and interpreting laws, regulations, codes, and ordinances to ensure the legality of financial transactions; and e) 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.
Ability to maintain professionalism, confidentiality, and objectivity under pressure.
Knowledge of medical terminology and regulations on the confidentiality of medical records (HIPAA).
Possess an 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.

Nice To Haves

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
Demonstrates reliable follow-through and clear, professional communication with internal and external partners

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.