Billing Specialist

• Monitor, process, report and document a variety of transactions including but not limited to suspense, adjustments, premium receipt, invoicing, deduction requests, reversals, reposts and delinquencies
• Coordinate with other business areas to ensure accurate premium processing, reporting, billing and fee disclosure
• Perform research as needed in support of reconciliations and adjustments
• Prepare and create monthly bills for alternately billed groups
• Act as a resource for external and internal business areas on process, procedure and systems
• Implement billing and delinquency operations to maximize effectiveness and accuracy
• Audit the accuracy of billing and delinquency information entered in the system and monitor operation of the billing system
• Develop solutions to billing and delinquency issues and work with systems design to implement system and process enhancements
• Work on special projects with management
• Proactively communicate sensitive and /or confidential policy and billing information, as well as providing solutions in a clear and effective manner to policyholders, producers, third party administrators, field force and home office staff based on Generally Accepted Accounting Principles (GAAP), federal regulations, contractual provisions and other related policy information

Billing Clerk

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Claim Lifecycle Management: Prepare, review, and submit clean claims daily through Open Dental to ensure rapid reimbursement.
• Insurance Verification & Breakdown: Obtain detailed, accurate insurance breakdowns and input them cleanly into patient files.
• Payer Liaison: Proactively follow up on outstanding, denied, or rejected claims, fighting the good fight on behalf of our practices.
• Administrative Accuracy: Audit aging reports, process co-pays, and post insurance payments with sharp, reliable attention to detail.

Billing & Insurance Coordinator

• Overseeing the daily operations of the billing and collections department
• Ensuring accurate and timely submission of claims and invoices
• Managing revenue cycle processes
• Leading a team to maximize collections
• Focusing on reducing claim denials and managing payments per payer contracts
• Optimizing cash collections in a high-volume setting
• Supervising billing and AR staff, assigning daily work, training new employees, and mentoring team members on billing techniques
• Developing and implementing policies, procedures, and best practices to improve billing efficiency and revenue integrity
• Monitoring AR aging reports to identify and resolve delinquent accounts, underpayments, and denials
• Managing the resolution of rejected claims, submits appeals for denied claims, and reconciling pharmacy payments
• Ensuring compliance with HIPAA, state/federal regulations, and payer contracts
• Generating and analyzing financial reports, tracking key performance metrics for pharmacy leadership
• Serving as a liaison between the pharmacy staff, finance department, and insurance payers regarding billing issues

Head of Billing and Collections

• Represent our values: Awesome, Creative, Respectful, Team Players, Get it Done.
• Work unpaid and partially paid insurance claims to resolve outstanding balances and secure accurate reimbursement in accordance with payer guidelines.
• Research claim status by utilizing insurance portals, conducting phone outreach, and drafting written correspondence as needed.
• Analyze denied or underpaid claims to identify root causes, trends, and necessary corrective actions.
• Submit timely and well-documented appeals for denied claims in alignment with specific payer policies and appeal procedures.
• Resubmit corrected claims with updated coding, documentation, or demographic information to facilitate proper adjudication.
• Maintain thorough and accurate records of all claim follow-up activities within the billing or revenue cycle management system.
• Collaborate with coding teams, clinical documentation specialists, and provider offices to gather missing information or resolve claim discrepancies.
• Monitor aging accounts and prioritize claims based on timely filing limits and payer response windows.
• Identify systemic issues or process inefficiencies impacting claim resolution and escalate concerns to management with supporting documentation.
• Meet or exceed established productivity and quality benchmarks while adhering to compliance and privacy standards.
• Other duties as assigned.

Billing Specialist – Insurance Follow-up

• Oversee all billing operations for Pain Management Practice
• Ensure accurate, compliant, and timely billing for clinic visits, interventional procedures, injections, diagnostics, and rehabilitation services
• Drive clean claim submission and optimal cash flow
• Manage billing for clinic visits, interventional pain procedures, injections, diagnostics, and rehabilitation services
• Ensure accurate charge entry, claim creation, and timely submission
• Serve as subject matter expert for pain management billing, fees schedules, liens, and direct bill processes
• Supervise billing staff, set productivity standards, and conduct performance reviews
• Partner with coding, authorization, AR, and clinical teams to resolve claim issues
• Monitor billing KPIs including clean claim rate, billing lag, and rejection trends
• Conduct audits and implement corrective action plans as needed

Billing Manager

• Responsible for the timely submission of electronic invoices and accruals to clients on monthly basis, overseeing the transition of clients to e-billing, and providing follow-up support to attorneys and clients in all aspects related to electronic billing
• Handle heavy volume of highly complex e-submission assignments for key corporate clients; ensure all client guidelines, internal protocol, and firm's guidelines are followed during submission process
• Act as liaison between billing attorney/secretarial staff, and clients' staff assigned to electronic billing by providing expert level subject matter support
• Populate, maintain, and update data for assigned clients in the billing system and clients' external web applications; ensure all relevant information is updated and correlated in the firm's billing system
• Execute accruals, budgets, and information and data requests
• Work collaboratively with department's supervisor to support e-billing systems by adding/removing user accounts, resetting passwords, assigning proper security levels, entering budgets, status reports, and matter profiles in various sub-systems
• Perform ad hoc analyses of complex client accounts regarding collections, rates, and reduced and rejected invoices
• Conduct time and absence for direct reports, including ensuring system accuracy and compliance with timekeeping policies and procedures
• Communicate with direct reports, manager and client on job or deadline issues
• Immediately escalate operational problems or issues to Supervisor or Manager. Handle client concerns and be able to problem-solve resolutions in accordance with policies and procedures
• Ensure team provides outstanding service to client, while building strong customer relationships
• Produce required reports on schedule
• Assist the team in completing more complex jobs
• Conduct and oversee quality assurance process to maintain efficient workflow and assure client satisfaction
• Monitor workflow to ensure jobs are completed efficiently, accurately and within deadlines
• Make sure team follows standard operating procedures
• Train new employees on policies and procedures
• Maintain all logs and reporting documentation as required

Billing Specialist jobs in Oregon

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