Medical Billing Specialist

Medical Billing Specialist 1.3 1.3 out of 5 stars 2445 Beverly Street, Springfield, OR 97477 Hybrid work Full-time Pacific Sports and Spine 4 reviews Full-time Job Overview We are seeking a highly organized and detail-oriented Medical Biller to join our Revenue Cycle team. The EPIC Biller is responsible for preparing, submitting, and tracking claims for reimbursement, ensuring accuracy and compliance throughout the billing process. This role is vital to maintaining a smooth cash flow and ensuring timely payments for healthcare services rendered. Pacific Sports and Spine is dedicated to providing the highest level of medical treatment for its patients. This commitment is achieved through the continuous training of physicians and medical staff, fostering professional growth and achievement for every employee, and maintaining excellence in both medical practice and employment. With these principles—combined with perseverance and dedication—we strive to be a leading medical provider and employer in Lane and Douglas counties. Key Responsibilities Claim Generation & Submission Accurately prepare and submit electronic and paper claims through EPIC Resolute Ensure that all required fields and codes (ICD-10, CPT, HCPCS, modifiers) are complete and correct Follow payer-specific billing rules and submission guidelines Error Resolution & Edits Review and resolve claim edits and rejections prior to submission Work claim scrubbers and clearinghouse rejections to ensure clean claims Payer Communication Contact insurance companies to verify claim receipt and status Resolve issues related to coverage, eligibility, authorizations, or claim denials Reporting & Documentation Maintain accurate documentation of billing activities within EPIC Generate reports on outstanding claims and follow-up status Meet or exceed daily productivity and quality benchmarks Collaboration & Support Work closely with AR follow-up, coding, and patient service teams to ensure smooth billing operations Provide input on process improvements and payer updates Compliance & Confidentiality Maintain up-to-date knowledge of payer rules, HIPAA, and billing compliance requirements Ensure all billing practices adhere to regulatory and contractual guidelines

Qualifications:

2+ years of experience in medical billing, preferably in a hospital or large practice setting EPIC experience preferred but not required Knowledge of insurance guidelines, coding systems (ICD-10, CPT, HCPCS), and reimbursement methodologies Strong problem-solving, organizational, and communication skills High attention to detail and ability to meet strict deadlines

Preferred Qualifications:

Experience with Medicare, Medicaid, and commercial payer billing Certification in Medical Billing (e.g., CMRS, CBCS, or CPB) Associate's degree in Healthcare Administration, Business, or related field

Job Type:

Full-time Expected hours: 40 per week

Benefits:

401(k) Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance People with a criminal record are encouraged to apply

Work Location:

Hybrid remote in Springfield, OR 97477