Live.Grow.Share.

Description of Position :   The Billing specialist is responsible for billing insurance claims to the Oregon Health Plan (OHP) Medicaid Open Card, as well as Medicare. The Billing specialist   checks eligibility, submits claims, identifying billing discrepancies, resolves denials, and determines write-offs. The Billing specialist is responsible for ensuring prior authorizations are in place and updating systems for fee schedule changes.   Essential Functions   Billing System Oversight    Implement and maintain billing contracts with insurance companies in coordination with Practice Manager   Liaison with Oregon Health Plan regarding Service rules   Attend insurance billing meetings   Maintain billing systems with current fee schedules, covered diagnoses, prior authorization requirements, and procedure codes   Prepare month-end reports of all claim batches submitted...