Billing Specialist - Ancillary Services - Ad280
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Overview
Job Description
Title: Billing Specialist- Ancillary Services- AD280
Location: RiverHouse- 211 SE Caruthers St, Portland, OR 97214
Schedule: Monday- Friday 9:00am- 5:00pm
Wage Range: $22.58 - $28.35 non-exempt, hourly
If you are a motivated and dedicated Billing Specialist looking for an opportunity to contribute to an organization making a positive impact, we want to hear from you!
At NARA Northwest, you'll find a supportive work environment where every team member is valued and respected. Whether you're passionate about healthcare, behavioral health, education, or social services, there's a place for you to make a meaningful difference.
Company Mission:
The mission of NARA NW is to provide education, physical, mental health services, and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and anyone in need.
About the Company:
At NARA NW, we deliver services and support to Native American and Alaska Native communities, helping individuals lead healthier, more fulfilling lives.
With over 450 employees across a variety of programs-including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives NARA NW offers numerous opportunities for growth and advancement, all while making a tangible, positive impact on the lives of others.
Position Overview:
This position supports Accounts Receivable functions for ancillary services, including Dental and Residential. Responsibilities include following up on unpaid claims, resolving denied and rejected claims, verifying eligibility, and posting payments accurately. The Ancillary Services Billing Specialist works across programs to reduce accounts receivable aging and ensure timely reimbursement, utilizing Athena Practice as the primary EHR and billing system to maintain consistent revenue cycle workflows.
What you will do:
- Follows up on outstanding accounts receivable within assigned aging buckets to reduce unnecessary aging.
- Reviews explanation of benefits to identify payment discrepancies and denial reasons.
- Researches, corrects, and resubmits denied or rejected claims as appropriate.
- Reviews billing charges for accuracy, including procedures, modifiers, and claim allocations, and corrects errors prior to resubmission or secondary billing.
- Routes and files billing batches according to established workflow.
- Verifies insurance eligibility, including Oregon and Washington Medicaid and Medicare, using payer websites and online tools.
- Identifies and addresses coverage issues to reduce avoidable denials.
- Bills secondary carriers when applicable.
- Creates and processes invoices as required.
- Submits and files claims to Oregon and Washington Medicaid and commercial third-party insurance.
- Processes payments, refunds, and bad debt write off tickets in accordance with policy and documentation standards.
- Maintains clear, traceable documentation of accounts receivable activity in work tickets within Athena Practice.
- Reviews billing and accounts receivable reports related to assigned work within Athena Practice.
- Collaborates with Dental, Residential, and Billing staff to resolve claim and payment issues.
- Maintains proficiency in Athena Practice and other required systems.
OTHER DUTIES AND RESPONSIBILITIES:
- Assists with revenue cycle tasks as assigned, including charge entry and coding support when needed.
- Performs other duties as required to support departmental operations
- Performs other duties as assigned.
Automate your job search with Sonara.
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