Billing Specialist (AD042)

Native American Rehabilitation Assoc. of the NW•Portland, OR

14d•$23 - $28•Onsite

About The Position

NARA Northwest is seeking a detail-oriented, customer-focused Billing Specialist to support the organization’s financial health and help ensure clients have uninterrupted access to healthcare services. As part of the Revenue Cycle team, the specialist manages insurance billing, payment processing, claim resolution, and account reconciliation for medical, behavioral health, and substance use treatment services. The role is onsite at NARA Northwest Administration in Portland, Oregon, Monday through Friday, 8:30 a.m. to 5:00 p.m., with a stated wage range of $22.58–$28.35 per hour. NARA NW provides culturally appropriate education, physical and mental health services, and substance abuse treatment to American Indians, Alaska Natives, and others in need. The organization has over 500 employees and provides services including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives. NARA NW is committed to sobriety; employees must comply with its Drug-Free/Alcohol-Free Workplace Certification and Modeling Sobriety policies as a condition of employment. Qualified Native Americans receive hiring preference in accordance with the Indian Preference Act. NARA Northwest is an Equal Opportunity Employer.

Requirements

At least two years of medical billing or healthcare revenue cycle experience (the posting states “Minimum one (2) years”).
High school diploma or GED.
Experience working with Oregon Health Plan (OHP), Medicare, Medicaid, and managed care plans.
Knowledge of medical terminology and healthcare billing practices.
Intermediate proficiency with Microsoft Office applications.
Understanding of HIPAA regulations and patient confidentiality requirements.
Strong data-entry, mathematical, and organizational skills, with exceptional attention to detail.
Strong customer service and communication skills.
Must pass a pre-employment or for-cause drug test, including marijuana testing.
Must pass a criminal background check.
Employees must agree to comply with NARA NW’s sobriety policies and sign the required workplace certification and Modeling Sobriety Policy forms.

Nice To Haves

Medical Billing and Coding Certificate.
Experience with CPT, ICD-10, and HCPCS coding systems.
Experience using Athena or similar practice management software.
Knowledge of healthcare reimbursement processes and insurance regulations.
Experience working within Native American and Alaska Native communities.

Responsibilities

Audit charges for medical, mental health, and substance use treatment services.
Review authorizations, diagnoses, insurance coverage, copayments, and payment allocations.
Verify patient eligibility and insurance benefits.
Review Explanation of Benefits (EOBs) and reconcile claim discrepancies.
Follow up on outstanding insurance accounts receivable and unpaid claims.
Research and resubmit denied or rejected claims.
Submit claims to primary and secondary insurance carriers, including government payers.
Process payments, adjustments, refunds, and approved write-offs.
Maintain accurate documentation, billing notes, and claim records.
Support revenue cycle projects and improvement initiatives.
Stay current on billing regulations, payer requirements, and internal systems.

Benefits

15 paid holidays, including the employee’s birthday.
Medical, dental, and vision insurance through Kaiser Permanente; employees working at least 20 hours are eligible, with benefits effective the first of the month following hire.
13 paid sick days.
13 paid days of PTO, with vacation accrual increasing with years of service to a maximum of 26 days.
$50,000 life insurance and AD&D.
Short-term and long-term disability.
Flexible Spending Account.
Health Spending Account.
401(k) with 4% match.
Employee Assistance Program.
Inclement weather days (snow days).
Public Student Loan Forgiveness eligibility; NARA NW is a local 501(c)(3) nonprofit and FQHC.