Title: Behavioral Health Medical Billing Specialist (Remote - Oregon/Southern Washington)
Department: Finance
Schedule: Monday-Friday, 8:00 AM - 5:00 PM Remote: Oregon/Southern Washington
WHAT IS GREAT ABOUT THIS OPPORTUNITY
Vision: Sharing the power of mental wellbeing
Mission: Providing compassionate care throughout our community
Pay & Benefits
$20.00 - $24.00 DOE
KBBH pays up to 92% of insurance premiums for employees and their families.
Benefits Include:
- Medical Insurance
- Dental Insurance
- Vision Insurance
- 403(b) Retirement Plan with 8% Employer Match
- 15 Paid Vacation Days (increases with tenure)
- Accrued Wellness Days
- Life Insurance
- Disability Insurance
- Flexible Spending Account (FSA)
- Health Savings Account (HSA)
- Employee Assistance Program (EAP)
- Wellness Program
- Employee Discounts
- Tuition Reimbursement Program
- Employee Scholarship Program
- Certified Student Loan Forgiveness Work Location
Help ensure clients can access care by making the billing process accurate, efficient, and seamless.
We are seeking a detail-oriented Medical Billing Specialist who takes ownership of results and delivers exceptional service. In this role, you'll support both our clients and our organization by ensuring claims are processed accurately, reimbursements are collected promptly, and accounts are managed professionally and compliantly.
Success is measured through achievement of established productivity, quality, accuracy, compliance, and customer service standards while contributing to a respectful, collaborative workplace.
Remote Work Requirements
This position is approved for remote work within Oregon and Southern Washington.
Employees must maintain:
A dedicated, private workspace that supports confidentiality and HIPAA compliance.Reliable high-speed internet capable of supporting video conferencing and cloud-based systems.Professional availability during established business hours.The ability to participate in virtual meetings, training, and collaboration activities using agency-provided technology.Residency within Oregon or the designated Southern Washington service area.Travel Requirement: Occasional travel to Klamath Falls, Oregon may be required for onboarding, training, department meetings, and other business needs.
What Success Looks Like
In this role, you will:
Submit accurate, timely claims for commercial insurance, Medicaid, Medicare, and client-pay accounts.Resolve denied, unpaid, and underpaid claims to maximize reimbursement.Maintain clean accounts receivable and proactively reduce aging balances.Provide responsive, professional support to clients regarding billing and account questions.Consistently meet productivity, quality, compliance, and customer service expectations.Partner effectively with internal teams, payers, and external stakeholders to improve outcomes and processes.Key Responsibilities
Billing, Claims & Reimbursement
Submit and manage billing for commercial insurance, Medicaid, Medicare, and direct-pay accounts.Investigate and resolve denied, unpaid, and underpaid claims.Process service authorizations and support timely reimbursement for approved services.Manage follow-up, collections, and denial resolution activities while meeting established performance standards.Accounts Receivable Management
Post payments, reconcile accounts, process refunds, prepare statements, and support month-end activity.Monitor aging reports and perform collection activities in accordance with agency policies.Communicate account status, reimbursement trends, and collection efforts as needed.Client Billing Support
Process financial assistance applications and verify eligibility.Respond to billing inquiries with professionalism, empathy, and accuracy.Escalate complex account issues for additional review when necessary.Compliance & Reporting
Maintain accurate billing, reimbursement, collections, and financial records.Ensure compliance with federal, state, payer, and agency requirements.Protect confidential client and organizational information in accordance with HIPAA and agency policies.Team & Organizational Contribution
Participate in meetings, training, and professional development activities.Stay current on billing regulations, reimbursement requirements, and industry changes.Contribute to process improvement initiatives that enhance efficiency, service quality, and compliance.Demonstrate professionalism, accountability, integrity, and respect in all interactions.Preferred Qualifications
Two or more years of medical billing and coding experience, preferably in behavioral health, mental health, substance use disorder treatment, community mental health, or psychiatric services.Working knowledge of CPT, HCPCS, ICD-10-CM coding, modifiers, authorizations, and payer reimbursement requirements.Experience billing Oregon Medicaid behavioral health services and Medicare mental health services strongly preferred.Knowledge of accounts receivable management, reimbursement practices, and collections.Experience with electronic health record (EHR) systems and Microsoft Office applications.Strong written and verbal communication skills.Excellent organizational skills and attention to detail.Ability to build and maintain effective relationships with clients, coworkers, insurance representatives, and external partners.The Traits That Drive Success
Strong billing and reimbursement expertiseProblem-solving and analytical thinkingClient-focused serviceClear and professional communicationAccountability and ownershipEffective time management and organizationAccuracy, quality, and compliance focusCollaborative, team-oriented mindsetWhy Join Us?
We believe strong financial operations support exceptional client care. You'll join a team that values collaboration, respect, accountability, and continuous improvement while doing work that directly supports access to behavioral health services.
If you're a skilled billing professional who enjoys solving problems, improving outcomes, and delivering excellent service, we'd love to hear from you.
Other Considerations: Klamath Basin Behavioral Health celebrates diversity and is committed to creating inclusive and equal access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and veteran's status. or any other basis covered by appropriate law. Our employment decisions are based on qualifications, merit, and agency need.
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