Billing Clerk

Sprout Therapy PDX • Portland, OR

8d

About The Position

Sprout Therapy PDX is seeking a dedicated Billing Clerk to join our team. This role is crucial for ensuring the smooth financial operations of our practice, focusing on accurate and timely insurance claims processing, client communication, and administrative support. The ideal candidate will have a strong understanding of Oregon Medicaid/OHP billing and a commitment to maintaining high standards of accuracy and organization.

Requirements

• Alignment with our company’s culture, mission, and values.
• 2+ years of experience with Oregon Medicaid/OHP billing and claims processing.
• Experience with medical billing software, preferably SimplePractice.
• High school diploma or equivalent; additional training in medical billing or healthcare administration preferred.
• Strong attention to detail and excellent organizational skills.
• Professional demeanor with ability to handle confidential information.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Strong communication skills and collaborative approach to supporting team goals.
• Reliable attendance and commitment to maintaining accurate billing records.

Nice To Haves

• Additional training in medical billing or healthcare administration preferred.

Responsibilities

• Submit insurance claims accurately and timely via SimplePractice.
• Verify client insurance benefits and coverage details 7 days out from scheduled appointment.
• Verify OHP eligibility and understand authorization requirements for mental health services.
• Follow up on claim denials and resubmit corrected claims.
• Review and post payments from EOBs (Explanation of Benefits).
• Communicate with clients regarding billing questions and payment arrangements.
• Process Oregon Health Plan (OHP) claims with knowledge of CCO requirements.
• Understand Oregon Medicaid billing codes and documentation requirements.
• Maintain accurate records for OHP reporting and audit compliance.
• Data entry into ROADS portal.
• Assist with client scheduling and appointment coordination as needed.
• Maintain organized filing systems for billing records and documentation.
• Provide general administrative support to clinical and administrative staff as directed.
• Set clear goals and develop realistic timelines to achieve them.
• Maintain a manual with step-by-step instructions for billing processes.
• Create reports for finance as-needed.
• Approach work collaboratively and with a genuine investment in team growth.
• Other duties as assigned.

Benefits

• Equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, genetic information, or any other characteristic protected by applicable law.
• Compliance with applicable state and local laws governing nondiscrimination in employment.
• Accommodations to individuals with disabilities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees