Job Description
Description We are seeking a detail oriented Medical Billing Specialist in the Portland area. This role is responsible for managing the billing process from claim submission through payment posting and follow up, helping ensure accurate reimbursement, reduced claim denials, and a positive patient financial experience. The ideal candidate has experience working with insurance providers, understands medical billing regulations, and thrives in a fast-paced environment where accuracy and customer s…
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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