Billing Specialist

POSITION SUMMARY

AFC Urgent Care Clinics is seeking a detail-oriented and motivated Billing Specialist to join our Revenue Cycle team at our headquarters in Tigard Oregon. This is an entry- to mid-level billing position ideal for a candidate with hands-on experience in medical billing including Workers Compensation (WCOMP) experience working denials insurance eligibility payment posting handling patient inquiries and calls and account receivable collections. The Billing Specialist will play a key role in supporting day-to-day billing operations ensuring timely follow-up on claims accurate payment posting and excellent service to our patients and internal team members.

This position is based on-site at our Tigard OR headquarters with the possibility of a hybrid work arrangement in the future as the role develops.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Workers Compensation (WCOMP) Billing & A/R Primary Focus
  • Manage and work the WCOMP accounts receivable (A/R) queue including identifying and resolving claim denials and underpayments.
  • Follow up directly with Workers Compensation adjusters and WCOMP payers to obtain payment status resolve outstanding balances and escalate unresolved claims as appropriate.
  • Research and appeal denied WCOMP claims by gathering supporting documentation and submitting timely appeals in accordance with payer guidelines.
  • Monitor claim aging reports and prioritize follow-up activity to reduce outstanding WCOMP A/R days.
  • Document all account activity follow-up contacts and resolution notes thoroughly in the practice management (PM) system.
• Payment Posting
  • Post insurance payments and Electronic Remittance Advices (ERAs) accurately and timely into the PM system.
  • Post paper checks EOBs and patient payments ensuring all transactions are balanced and correctly applied to patient accounts.
  • Identify and resolve posting discrepancies contractual adjustments and balance transfers in a timely manner.
• Patient Account Support
  • Respond to patient inquiries via phone and messaging regarding billing statements insurance processing balances and payment options in a professional and empathetic manner. Conduct patient account audits to identify billing errors misapplied payments or discrepancies and make appropriate corrections.
  • Assist patients in understanding their Explanation of Benefits (EOBs) and coordinate with insurance payers on their behalf when needed.
• Eligibility & Claim Status
  • Verify patient insurance eligibility and check claim status using payer portals including Availity OneHealthPort Medicare Oregon Medicaid (OHA) and Washington Medicaid (Apple Health).
  • Proactively identify eligibility issues and communicate findings to appropriate team members to prevent billing delays.
• Miscellaneous Billing Operations
  • Print and mail claims and itemized statements to patients and payers in accordance with office procedures.
  • Assist the billing team with day-to-day administrative billing tasks as needed.
  • Maintain organized billing records and documentation in compliance with HIPAA and company policies. Participate in team meetings training sessions and process improvement initiatives. Perform other related duties as assigned by the Billing Manager.

QUALIFICATIONS

• Required
  • Minimum of 25 years of experience in medical billing preferably in an urgent care primary care or multi-specialty outpatient setting.
  • Demonstrated experience working Workers Compensation billing and A/R including adjuster follow-up denial management and claims resolution.
  • Experience posting payments ERAs and paper checks in a practice management or EHR system. Proficiency with insurance eligibility and claim status portals (Availity OneHealthPort Medicare Oregon Medicaid and/or Washington Medicaid preferred).
  • Strong understanding of medical billing processes payer guidelines and claim lifecycle.
  • Excellent written and verbal communication skills with the ability to interact professionally with payers adjusters and patients.
  • High attention to detail strong organizational skills and the ability to prioritize in a fast-paced environment.
  • Proficiency with Google Workspace including Google Docs Google Sheets and Gmail. Ability to reliably commute to and work on-site at our Tigard OR headquarters.
• Preferred
  • Experience with multi-state payer environments (Oregon and Washington).
  • Familiarity with urgent care billing and common procedure codes associated with urgent care visits (CPT ICD-10).
  • Prior experience conducting patient account audits and resolving complex billing discrepancies. Education
  • High school diploma or equivalent required.
  • No college degree or billing certification required; relevant work experience is valued above formal credentials.

KNOWLEDGE SKILLS & ABILITIES

Working knowledge of Workers Compensation billing regulations and payer-specific requirements. Ability to read and interpret EOBs ERAs and payer correspondence.

Strong problem-solving skills and the ability to work independently with minimal supervision. Demonstrated ability to maintain patient confidentiality and comply with HIPAA regulations. A collaborative team-first attitude with the ability to adapt in a growing clinic environment. Consistent reliable attendance and a professional demeanor.

COMPENSATION & BENEFITS

Pay Rate: $22.00 $25.00 per hour commensurate with experience.

AFC Urgent Care Clinics offers a comprehensive benefits package to eligible employees including: Medical Insurance Dental Insurance Vision Insurance 401(k) Retirement Plan Paid Time Off (PTO) Employee Discount

WORK ENVIRONMENT & SCHEDULE

Location: On-site at AFC Urgent Care Clinics headquarters Tigard OR. Hybrid work arrangements may be considered in the future for qualified candidates who have demonstrated performance and reliability in the role.

Schedule: Full-time Monday through Friday. Standard business hours.

Physical Requirements: Primarily sedentary role involving extended periods of computer use phone communication and document handling. Occasional filing and light physical tasks.

EQUAL OPPORTUNITY EMPLOYMENT

AFC Urgent Care Clinics is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability veteran status or any other characteristic protected by law.

Note to Applicants: This position does not involve medical coding. Candidates with billing and A/R experience particularly in Workers Compensation are strongly encouraged to apply regardless of whether they hold formal certifications or degrees.