Medical Billing Specialist FT

East Portland Surgery Center is looking for a Billing Specialist to join the team! East Portland Surgery Center is one of Portland’s leading multi-specialty surgery centers, performing cases in pain management, GI, general surgery, orthopedics, urology, plastics, ophthalmology, gynecology, ENT & Spine.

East Portland Surgery Center is a fast paced ASC environment committed to producing the highest quality work and experience for patients and their families.

• A great place to work!!
• Full insurance plan (medical, dental, vision, life, long- & short-term disability, ETC.); 401k; Excellent time off package, including 7 paid holidays per year + 2 personal days + 1 week city sick leave (CSL) + generous PTO plan
• Schedule : Monday Friday, with NO nights, NO weekends, NO holidays, and NO call
• Easy location & parking

Job Summary : The Billing Specialist at EPSC is responsible for overseeing the entire billing process for patient accounts, from submitting all billings to insurance in a timely manner, to working with our coding specialist to ensure that all cases are coded correctly, leading monthly coding audits, and taking the lead role in driving insurance collections.

This position will cover both EPSC and Cascade Spine Center (CSC) in Tualatin and will be based at EPSC. (anticipated time split is EPSC 60% / CSC 40%)

Essential Job Duties and Responsibilities include the following :

• Electronically submit patient procedure bills to third party payers
• Perform timely and accurate postings of payments received from third party payers and / or patients
• Perform timely and accurate processing of all rejected and denied claims submitted to third party payers
• Contact insurance companies to collect outstanding payments
• Monitor and collection of AR aging
• Knowledge of how to interpret a managed care contract, Medicare and Medicaid, and Workers Compensation claims is a must
• Identification of accounts that have been either under or over paid

Issuing credit balance information either to the insurance carrier or the patient

• Excellent communication and negotiation skills
• Ability to work independently and interdependently with other business office staff
• A team player
• A professional demeanor and appearance
• Works well in stressful environment and in situations that demand patience

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States.

We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity.

A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

For more information about USPI, check out our website

Pay Range : $25 - $30 / hr

Required Skills

• Proven experience (3 years preferred) in medical billings, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
• A top performer with an extensive knowledge of billing, collections and reimbursement of claims processing
• Fluent in medical terminology and CPT codes

Ability to work independently

• Organization, time management and task prioritization abilities
• Ability to be discreet and maintain the security of patient information
• Excellent verbal & written communication skills, and interpersonal skills
• Excellent customer service skills, always demonstrating professionalism
• Comfortable utilizing critical thinking skills
• High School Diploma or equivalency
• Proficient with Microsoft Office products
• Understanding of healthcare specific policies, such as HIPAA regulations

USPI complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.

If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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Required Experience

• Proven experience (3 years preferred) in medical billings, with an extensive knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid, Workers Comp, Commercial plans, etc.
• A top performer with an extensive knowledge of billing, collections and reimbursement of claims processing
• Fluent in medical terminology and CPT codes

Ability to work independently

• Organization, time management and task prioritization abilities
• Ability to be discreet and maintain the security of patient information
• Excellent verbal & written communication skills, and interpersonal skills
• Excellent customer service skills, always demonstrating professionalism
• Comfortable utilizing critical thinking skills
• High School Diploma or equivalency
• Proficient with Microsoft Office products
• Understanding of healthcare specific policies, such as HIPAA regulations

USPI complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.

If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

LI-CT1