Medical Biller/Coder

Medical Biller – Accounts Receivable Specialist

FOCUS: AR, Denials & Reimbursement

POSITION DESCRIPTION

Join a team where your expertise is valued, your work is meaningful, and your impact is real.

Oregon Surgical Specialists is seeking an experienced, resourceful revenue-cycle professional who enjoys solving complex billing problems and turning outstanding claims into timely, accurate reimbursement. You will take ownership of assigned accounts, investigate denials and underpayments, and work directly with payers, patients, surgeons, and colleagues to move claims to resolution and maximize reimbursement.

Surgical billing experience and professional coding credentials are especially valued and may qualify for additional compensation.

Essential Functions

Claims & Accounts Receivable:

• Review and actively work aged accounts receivable, prioritizing claims by balance, age, payer requirements, and likelihood of recovery.
• Research rejected, denied, unpaid, and underpaid claims; identify the root cause; and take the appropriate corrective action, including corrected claims, reconsiderations, and appeals.
• Support claim-generation and posting workflows by reviewing claims for accuracy, completeness, and timely submission.
• Follow up with Medicare, Medicaid, commercial payers, patients, and internal team members to obtain information and drive claims to final resolution.
• Post payments, contractual adjustments, refunds, and other account activity accurately so patient balances remain current and reliable.

Analysis, Reconciliation & Performance:

• Reconcile remittances and payment activity; research discrepancies and escalate trends that require broader correction.
• Monitor A/R aging, denial patterns, outstanding balances, days in A/R, and claim-denial rates.
• Use payer feedback and account trends to recommend practical workflow improvements that prevent recurring errors and accelerate collections.

Service, Documentation, & Compliance:

• Respond to patient billing questions with clarity, accuracy, empathy, and discretion.
• Document follow-up activity and account actions thoroughly to support continuity, audit readiness, and timely next steps.
• Maintain current knowledge of Medicare, Medicaid, commercial payer, coding, and billing requirements relevant to the role.
• Protect confidential information and consistently follow HIPAA, organizational policies, and ethical billing practices.
• Contribute to other business-office priorities and duties as assigned.

POSITION REQUIREMENTS

Required Qualifications

• High school diploma or equivalent.
• At least one year of medical billing or healthcare accounts receivable experience.
• Working knowledge of Medicare, Medicaid, and commercial payer billing requirements.
• Familiarity with ICD-10-CM, CPT, and HCPCS coding principles.
• Strong investigative and problem-solving skills, with exceptional attention to detail and data accuracy.
• Clear, professional written and verbal communication skills.
• Ability to organize competing priorities, work independently, meet productivity expectations, and collaborate effectively.
• Consistent professionalism, ethical conduct, and commitment to confidentiality.

Preferred Qualifications

• Associate or bachelor's degree in accounting, healthcare administration, business, or a related field.
• Two or more years of recent experience in a physician practice, outpatient medical office, or ambulatory surgery center.
• Surgical specialty billing and/or coding experience.
• Experience with Epic or a comparable electronic health record and practice-management system.
• Certified Professional Coder (CPC) or Certified Coding Specialist - Physician-based (CCS-P) credential.
• Experience assigning or validating E/M, ICD-10-CM, CPT, and HCPCS codes.

What Success Looks Like

• You pursue accounts to resolution instead of simply documenting another follow-up.
• Your work is accurate, well documented, compliant, and completed within payer deadlines.
• You recognize denial and underpayment patterns and help correct the underlying process.
• You communicate firmly and professionally with payers while remaining respectful and helpful with patients and colleagues.
• You are dependable, self-directed, adaptable, and invested in the performance of the entire revenue-cycle team.

Compensation & Professional Growth

Compensation is based on relevant experience and qualifications. CPC or CCS-P certification and qualifying surgical specialty experience may be eligible for additional compensation. This role offers the opportunity to deepen expertise in physician-practice reimbursement, payer policy, denials, coding, and complex surgical revenue cycle operations.

Work Environment & Physical Demands

This is primarily a sedentary office position in a fast-paced environment with changing priorities. The role requires frequent collaboration, prolonged sitting, and typically 8 hours of daily computer, keyboard, mouse, and telephone use. Walking, standing, squatting, and neck bending or turning are infrequent and generally brief. Waist twisting is occasional, and pushing or pulling requires minimal force of up to 5 pounds. Extended or irregular hours are rarely required. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of the position.

Ready to bring persistence, precision, and judgment to a high-impact revenue-cycle role? We would like to hear from you.

Pay: $22.00 - $27.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Experience:

• Medical Billing: 1 year (Preferred)

Work Location: Hybrid remote in Medford, OR 97504