Accountant 1 - Medical Billing Specialist
Core
Manage Medicaid billing and reimbursement for youth in care, ensuring accurate, compliant, and timely claims processing via MMIS.
Role type
Medical billing accountant (IC)
Builds
Accurate Medicaid claims and reimbursement records for the Oregon Youth Authority
Domain
Healthcare revenue cycle / Governmental accounting
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
ICD-10/ICD-9 coding, HCPCS/CPT coding, Medicaid Title XIX regulations, HIPAA compliance, governmental accounting principles, financial reconciliation, Excel proficiency
Preferred skills
Certified Public Accountant (CPA) or Certified Government Financial Manager (CGFM) credential, experience with ORMB/Epic Tapestry Membership/SharePoint, experience reviewing HCFA forms
Technologies
MMIS, ORMB, Epic Tapestry Membership, SharePoint, Excel
Responsibilities
Review and verify medical billing codes and reimbursement rates for payments to providers; Track and maintain records supporting reimbursement claims; Review and analyze remittance advice from the Oregon Health Authority to verify accuracy of paid and denied claims
Seniority
Entry-level to Mid-level, hands-on IC