Position Summary
Southern Oregon Chiropractic-Clarity Billing Services is seeking a detail-oriented and dependable Medical Biller/AR Specialist to join our team. We are hiring a Medical Biller / AR Specialist to get our claims paid accurately and on time. You will own claims from submission through final payment: preparing clean claims, working the aging report, resolving denials, and keeping patient and payer accounts current. The right person is detail-oriented, persistent on the phone with payers, and comfortable working independently against clear AR targets.
Key Responsibilities
Billing and Claims
- Prepare, review, and submit clean claims to insurance companies electronically or by paper.
- Post payments and reconcile accounts.
- Follow up on unpaid or denied claims and initiate appeals when necessary.
- Communicate with insurance companies, healthcare providers, and patients regarding billing issues.
- Maintain accurate billing records and documentation in compliance with HIPAA regulations.
- Stay current on insurance guidelines and coding updates.
- Provide exceptional customer service to clients and patients.
Accounts receivable and collections
- Work the AR aging report daily, prioritizing by dollar amount and timely-filing deadlines
- Follow up with payers by phone, portal, and correspondence on unpaid and underpaid claims
- Research, appeal, and resolve denials; track root causes and recommend fixes to prevent repeats
- Post insurance and patient payments, adjustments, and write-offs accurately from ERAs and EOBs
- Identify and process credit balances and refunds according to payer rules and company policy
Patient accounts and reporting
- Answer patient billing questions with clarity and courtesy; set up payment plans when appropriate
- Prepare patient statements and manage accounts sent to collections
- Produce AR reports (days in AR, denial rate, aging buckets) for management
- Maintain HIPAA compliance and stay current on payer policy and coding updates
Qualifications
- High school diploma or equivalent required; associate’s degree or certification in medical billing/coding preferred.
- Minimum of 2 years of experience in medical billing (multi-specialty billing experience is a plus).
- Proficiency in billing software (e.g., Chirotouch, Chiroscribe).
- Strong knowledge of CPT, ICD-10, and HCPCS coding.
- Understanding of commercial insurance, Medicare, Medicaid, and third-party payer regulations.
- Excellent attention to detail and organizational skills.
- Strong verbal and written communication skills.
- Ability to work independently and meet deadlines.
Preferred Skills
- Certification through AAPC or similar (e.g., CPC, CCS).
- Experience in chiropractic billing.
- Experience in behavioral health billing.
- Familiarity with electronic health records (EHR) systems.
What We Offer
- Medical, Dental and Vision insurance
- 401K w/employer match
- Paid time off and paid holidays
- Competitive compensation based on experience.
- Flexible work environment.
- Supportive team culture focused on collaboration and growth.