Medical Billing/Coding Specialist

Job description

Altius Search Group is currently looking for well-rounded, experienced and proficient medical biller/coder for one of our clients. This is currently a part-time position with full-time potential as our department grows. The position will be located in Clackamas, Oregon where you will be onsite for 3 days and work remotely for 2 days. Candidate will be highly organized and can work independently to ensure timely filing of claims, A/R follow ups, and payment posting. There will be inbound calls from patients for payments as well as outbound calls to various insurance payers for claims status, denials, and appeals.



  • 5+ years of medical billing experience required, billing certification through an accredited association/school required if no coding certification available
  • Coding Certification preferable
  • Demonstrate and apply knowledge of medical terminology and general medical office procedures including HIPAA regulations
  • Knowledge of insurance processes and billing guidelines/regulations required

Essential Functions:

  • Resolve insurance claim rejections/denials, and non-payment of claims by payors.
  • Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines in order to identify ways in which our patients can expedite resolution of insurance accounts and identify delays in processing.
  • Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
  • Responsible for maintaining daily account, follow-up work lists within department while maintaining organization’s productivity standards.
  • Ensure compliancy is met and process claims in accordance with contracts and policies, as well as to adjudicate claims as appropriate.
  • Responsible for identifying, researching, and resolving credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
  • Process, and maintain, within expectation, all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
  • Responsible for handling patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
  • Communicate appropriately with insurance companies, patients, co-workers and supervisors.
  • Perform other duties as assigned.

Other Skills:

  • Knowledge of ICD-10/CPT/HCPCS coding
  • Proficient use of computers including Microsoft Office 2010 applications
  • Skilled in 10-key by touch and keyboarding
  • Ability to operate general office equipment
  • Exceptional verbal and written communication skills
  • Excellent attention to detail and ability to multi-task
  • Ability to work with minimal supervision, independently, as well as in a collaborative team setting
  • Strong organizational skills with the ability to prioritize and meet deadlines
  • Knowledge of Commercial and/or Government Payors
  • Ability to identify, research, and resolve credit balances, missing payments, and unposted cash as it pertains to billing account follow-up
  • Benefits of full-time employment:
  • Paid Time Off
  • Retirement Plan
  • 401(k)
  • FSA or HSA
  • Medical, Dental, and Vision Insurance
  • Education Reimbursement