Medical Billing Finance Specialist 2 - Medicare, Medicaid, Commercial, and Specialty Payors KSA
Medical Billing Finance Specialist 2 - Medicare, Medicaid, Commercial, and Specialty Payors KSA
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Job Description
This is an internal job posting. Only former Multnomah County employees on an active recall list may apply for this opportunity through this site.
Current employees: Please apply through the employee portal to be considered for this opportunity.
Pay Range:
$34.80 - $42.71 HourlyDepartment:
Health DepartmentJob Type:
Regular RepresentedExemption Status:
United States of America (Non-Exempt)Closing Date (Open Until Filled if No Date Specified):
July 30 2025
The Opportunity:
This Work Matters!
We seek leaders achievers and doers who bring skill and passion to a challenging and evolving environment. At the Multnomah County Health Department we are all inspired by the mission: We work with communities to advance health equity protect the most vulnerable and promote health and wellness for everyone and we uphold the values: Compassion and Care Empowerment Racial Equity Creativity and Integrity. We create a culture of respect trust and understanding for the highly diverse population we serve in our communities.
The Accounts Receivable Billing Finance Specialist 2 performs a full range of duties works independently applies well-developed subject knowledge and exercises judgment and initiative. This position is responsible for conducting all billing duties for multiple payors which may include Medicare Medicaid Commercial Specialty payors and self-pay clients. This position provides technical and billing assistance to clinical and billing teams. The Finance Specialist 2 primary objective is to maximize revenues and ensure compliance with Payor County State and Federal guidelines rules and regulations.
As the Finance Specialist 2 you will:
Follow up on charges denials payments credits and refunds for various payors
Manage assigned work queues including charge review credit claim edit follow-up guarantor remittance and retro review
Update insurance coverage and report denial trends to leadership
Assist the billing team with routine issues questions and escalations
Support billing specialists with learnings related to clinical documentation coding claim submission regulatory guidance and workflow creation/maintenance
Grant and maintain Medical Billing staff access to insurance company websites for eligibility and claim status information
Provide training and reference materials to clinic staff on Check-in processes and insurance entry
Alert clinic staff of payor changes that may impact clinic workflows or practices
Provide technical assistance to clinics including voiding/redistributing payments merging guarantor accounts transferring visits refunding clients/3rd party payors and clarifying charges
Evaluate and administratively write off outstanding patient account balances
Review and resolve patient billing inquiries including self-pay credits applying charges and processing refunds
Verify the correct application of the sliding fee discount schedule on patient self-pay balances and assist with escalated patient calls
Diversity and Inclusion: At Multnomah County we dont just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the Countys attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.
TO QUALIFY:
We will consider any combination of relevant work experience volunteering education and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant.
Minimum Qualifications/Transferable Skills*:
Equivalent to a Bachelors Degree from an accredited college or university with major course work in accounting finance or a related field
Three years of progressively responsible accounting or fiscal management experience or an equivalent combination of education and experience
This position requires a working knowledge of Medicare Medicaid Commercial and Specialty payors and reimbursement processes; working knowledge of medical terminology or familiarity with Current Procedural Terminology/(CPT) dental procedure codes (CDT) and International Classification of Diagnosis (ICD10) codes; and working knowledge of Epic Resolute.
*Transferable skills: Your transferable skills are any skills you have gained through education work experience (including the military) or life experiences that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.
SCREENING AND EVALUATION:
The Selection Process: For details about how we typically screen applications review our overview of the selection process page. We expect to evaluate candidates for this recruitment as follows:
Initial review of minimum qualifications
An evaluation of application materials to identify the most qualified candidates
Consideration of top candidates/interviews
Background reference and education checks
Pay Equity: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidates relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.
Required: The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.
A completed online application.
A resume that explains all related experience (paid or unpaid) and training in your resume.
A cover letter that expands on your resume addressing how you qualify for the position why you are interested in the role and how you will apply an equity lens in this role.
Note: The application resume and cover letter should demonstrate your work experience/ skills and how it is related to those shown in the overview and To Qualify sections of the job announcement. Please be thorough as these materials may be scored and determine your eligibility for an interview.
Please be mindful of checking your email inbox for messages from the Recruiter as you may be emailed requesting additional information. If a response is not received in a timely manner your application may not be considered.
ADDITIONAL DETAILS:
Type of Position: This hourly position is eligible for overtime.
Type: Represented
FLSA: Non-Exempt
Schedule: Monday to Friday 8:00 AM - 4:30 PM
Routine Telework: This position is designated as routine telework meaning you will be working remotely (from home); a hybrid schedule also is available. As with all routine telework positions employees may be required to come into the office on occasion. The designation of Routine Telework may be subject to change at a future time. All employees must reside in Oregon or Washington; the county cannot support ongoing telework from other locations. The onsite work location for this position is the Gladys McCoy Building located at 619 NW 6th Ave. Portland OR 97209.
Serving the Public Even During Disasters:
Everyday Multnomah County staff work together to serve as a safety net for our communities. During a disaster this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather natural disaster or other types of community emergency response. During these emergency responses while typically there begins with a call for volunteers county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information please visit the Disaster Service Worker Information page.
Diversity and Inclusion: At Multnomah County we dont just accept difference; we value it and support it to create a culture of dignity and respect for our employees.
We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race color religion sex sexual orientation gender identity national origin disability veteran or protected veteran status genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.
Veterans Preference: Under Oregon Law qualifying veterans may apply for veterans preference. Review our veterans preference page for details about eligibility and how to apply.
Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.
Questions
Recruiter:
Dan RyanEmail:
Phone:
1 (971)Application information may be used throughout the entire selection process. This process is subject to change without notice.
Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.
Job Profile:
6030 - Finance Specialist 2Required Experience:
Unclear Seniority
Employment Type
Full-Time
