Full Time
Live.Grow.Share.
Hybrid (Eugene, OR)
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...